WQ0039935_Issuance of Permit_20180424

ROY
COOPER
4 °x Governer
° MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Water Resources Intert,rr Director
Environmental Quality
April 24, 2018
Lee Welchons, Senior Vice President
Wind River Tobacco Company, LLC
PO Box 528
Black Creek, NC 27813
Subject: Permit No. WQ0039935
Wind River Tobacco Company, LLC
Wind River Tobacco Company
Wastewater Collection System Extension Permit
Wilson County
Dear Mr.Welchons.:
In accordance with your application received March 8, 2018, and additional information received on
Month, Day,Year,we are forwarding herewith Permit No.WQ0039935 dated April 24, 2018,to the Wind
River Tobacco Company, LLC (Permittee) for the construction and operation upon certification of the
subject wastewater collection system extension. This permit shall be effective from the date of issuance
until rescinded,and shall be subject to the conditions and limitations as specified therein.This cover letter
shall be considered a part of this permit and is therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a permit modification request for a
name change must first be approved by this office.
Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system-wide collection system
permit issued to the Permittee.
It shall be the responsibility of the Permittee to ensure that the as-constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina-licensed Professional Engineer to
the licensing board.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General
Statutes, and filed with the Office of Administrative Hearings,, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made,this permit shall be final and binding.
Division of Water Resources,Raleigh Regional Office,Water Quality Operations Section www ncwaterquality org
1628 Mail Service Center,Raleigh,NC 27699-1628 - Phone [phone]
Location. '1500 Barrett Drive.Raleigh.NC 2.7609 Fax•[phone]

Wind River Tobacco Company, LLC
Permit No.WQ0039935
If you need additional information concerning this matter, please contact Jason Robinson at(919)791-
4200 or via e-mail at [e-mail].
Sincerely,
/ - /
L__) / f„...-,2,-2 s 2-71 ,
for Linda Culpepper.
Interim Director, Division of Water Resources
byS. Daniel Smith, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
cc: Robert S. Bartlett, PE: [e-mail]
Bill Bass: [e-mail]
Greg Gates:ggates@a,townofblackcreek.org
Wilson County Health Department
Raleigh Regional Office Files
Water Resources Central Files
Page 2 of 9

North Carolina Department of Environmental Quality
3
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Wind River Tobacco Company, LLC
Wilson County
for the construction and operation of approximately 59 linear feet of 6-inch gravity sewer; a 80—gallon
per minute pump station with duplex pumps, on-site audible and visual high water alarms,telemetry, and
a portable generator receptacle with telemetry as well as approximately-3,771 linear feet of 4-inch force
main to serve a 80-employee, 4-loading bay factory as part of the Wind River Tobacco Company project,
and the discharge of 2,400 gallons per day of collected domestic wastewater into the Town of Black
Creek's existing sewerage system, pursuant to the application received March 8, 2018, and in conformity
with 15A NCAC 2T;the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 and
updated in March 2008, as applicable; the Division's Minimum Design Criteria for the Fast-Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 and updated March 2008, as
applicable; and other supporting data subsequently filed and approved by the Department of
Environmental Quality and considered a part of this permit.
This permit shall be effective frog t date f Issuance until rescinded and shall be subject to the specified
conditions and li itations coat 'rhed t r in.
i moi` J✓y'�
...-,----1-1(..4%;1
Linda Culpepper
Interim Director, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0039935
Permit Issued: April 24, 2018
' Page 3 of 9
,

SUPPLEMENT TO PERMIT COVER SHEET
Wind River Tobacco Company, LLC is hereby authorized to:
Construct,and then operate upon certification the aforementioned wastewater collection extension. The
sewage and wastewater collected by this system shall be treated in the City of Wilson's Wastewater
Treatment Facility in accordance with Permit NurrIber NC0023906.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 and
updated March 2008, as applicable; and the Division's Minimum Design Criteria for the Fast-Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 and updated March 2008, as
applicable, unless specifically mentioned herein. Division approval is based on acceptance of the
certification provided by a North Carolina-licensed Professional Engineer in the application. It shall be the
Permittee's responsibility to ensure that the as-constructed project meets the appropriate design criteria
and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
I. SPECIAL CONDITIONS
1. This permit shall become voidable unless the agreement between Wind River Tobacco Company, LLC
and Town of Black Creek and/or City of Wilson for the collection and final treatment of wastewater is
in full force and effect. [15A NCAC 02T.0304 h)]
2. Each pump station shall be clearly and conspicuously posted using a weatherproof sign with a pump
station identifying name/number, 24-Ho 6 r Emergency telephone number, and name of the
owner/operator of the sewer system/pump)station and instructions to call the number in the event
of alarm activation or other emergency. Simplex pump stations or vacuum sewer pits serving a single-
family residence may have a placard or sticker on the control panel in lieu of a sign. [15A NCAC 02T
.0305(h)(2)]
II. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and may or may not be approl ed. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
2. This permit shall become voidable unles the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 19916 and updated March 2008, as applicable; the Division's
Minimum Design Criteria for the Fast-Track Permitting of Pump Stations and Force Mains adopted
Page 4 of 9

s
June 1, 2000 and updated March 2008, as applicable; and other supporting materials unless
specifically mentioned herein. [15A NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T.0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system-wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required,the following performance criteria shall be met: [15A NCAC 02T .0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day(i.e. 365
days per year). Pump stations that are connected to a telemetry system shall be inspected at
least once per week.
e. High-priority sewer lines shall be inspected at least once per every six-months and inspections are
documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in accordance
with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North Carolina
General Statute §143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease-related sanitary sewer overflows.
Page 5 of 9

t
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs(a)through (i)of this Rule fora minimum of three
years with exception of the map,which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Raleigh Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure,due to known or unknown reasons,that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallon) ; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to
ensure that the problem does not recur. Part II of Form CS-SSO(or the most current Division approved
form) can also be completed to show that the)SSO was beyond control. [G.S. 143-215.1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required supporting
documents to the address provided on the form. A complete certification is one where the form is
fully executed and the supporting documents are provided as applicable. Any wastewater flow made
tributary to the wastewater collection system extension prior to completion of this Engineer's
Certification shall be considered a violatioln of the permit and shall subject the Permittee to
appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement,then a copy of the Articles
of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been appropriately
filed with the applicable County's Register o Deeds office shall be submitted with the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting docume tation shall include the following:
a. One copy of the project construction rec rd drawings (plan & profile views of sewer lines &force
mains) of the wastewater collection syst m extension. Final record drawings should be clear on
the plans or on digital media (CD or DVD disk) and are defined as the design drawings that are
marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
Page 6 of 9

b. One copy of the supporting applicable design calculations including pipe and pump sizing,velocity,
pump cycle times, and level control settings, pump station buoyancy, wet well storage, surge
protection, detention time in the wet well, and force main, ability to flush low points in force
mains with a pump cycle, and downstream sewer capacity analysis. If a portable power source or
pump is dedicated to multiple 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.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting in
non-compliance with this permit (including pipe length increases of 10% or greater, increased flow,
pump station design capacity design increases of 5% or greater, and increases in the number/type of
connections), regulations, or the Minimum Design Criteria. Requested modifications or variances to
the Minimum Design Criteria will be reviewed on a case-by-case basis and each on its own merit.
Please note that variances to the Minimum Design Criteria should be requested and approved during
the permitting process prior to construction. After-construction requests are discouraged by the
Division and may not be approved, thus requiring replacement or repair prior to certification &
activation. [15A NCAC 02T.0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until
corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case-by-case basis. Resolution of such request shall be evident prior to completing and submitting
the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of
the wastewater collection facilities. [15A NCAC 02T.0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T;the Division's
Gravity Sewer Design Criteria adopted February 1.2, 1996 and updated March 2008,
as applicable; the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Station
and Force Mains adopted June 1, 2000 and updated March 2008 as applicable; and other supporting
materials may subject the Permittee to an enforcement action by the Division, in accordance with
North Carolina General Statutes §143-215.6A through §143-215.6C, construction of additional or
replacement wastewater collection facilities, and/or referral of the North Carolina-licensed
Professional Engineer to the licensing board. [15A NCAC 02T .0104; 15A NCAC 02T.0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions,the Permittee shall take immediate corrective action, including those
as may be required by this Division, such as the construction of additional or replacement facilities.
[15ANCAC 021.0110; 15A NCAC 02T.0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules,regulations,or ordinances that may be imposed by the Division any other Federal,State,or Local
Page 7 of 9

1
government agencies which have jurisdiction or obtaining other permits which may be required by
the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
Rage 8 of 9

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: Wind River Tobacco Company, LLC
PERMIT#: WQ0039935
PROJECT: Wind River Tobacco Company
ISSUE DATE: April 24, 2018
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation. It
should be submitted in a manner that documents the Division's receipt. Send the required documentation
the Regional Supervisor, Water Quality Regional Operations Section at the address at the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name,Title Signature Date
ENGINEERS CERTIFICATION
I, , as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe ( periodically, I I weekly, I I full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that,to the best of
my abilities, due care and diligence was used in the observation of the construction such that the
construction was observed to be built within substantial compliance of this permit; 15A NCAC 02T; the
Division of Water Resources'(Division)Gravity Sewer Minimum Design Criteria adopted February 12,1996
and updated March 2008, as applicable; the Division's Minimum Design Criteria for the Fast-Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 and updated March 2008, as
applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
n Final . Partial (include description)
•
Certification Comments/Qualifiers (attach if necessary):
Division of Water Resources,Raleigh Regional Office,Water Quality Operations Section www ncwaterquality.org
1628 Mail Service Center,Raleigh,NC 27699-1628 Phone:[phone]
T nratinn• 4R(T(1 Tlarratt Tlriva Ralainh 1\Tr')701Q Fav•10101 7RR-71 c0

State of North Carolina
Department of Environmental Quality
Division of Water Resources
VR
15A NCAC 02T.0300—FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16&SUPPORTING DOCUMENTATION
Application Number:VA00 J{613 _(to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Wind River Tobacco Company,LLC(company,municipality,HOA,utility,etc.)
2. Applicant type: 0 Individual CI Corporation ❑General Partnership ❑Privately-Owned Public Utility
❑Federal ❑State/County 0 Municipal ❑Other
3. Signature authority's name:Lee Welchons, per 15A NCAC 02T.0106(b)
Title:Senior Vice President
4. Applicant's mailing address:P.O.Box 528
City:Black Creek State:NC Zip:27813-
5. Applicant's contact information:
Phone number: 252 291-0006 Email Address:
II. PROJECT INFORMATION:
1. Project name:Wind River Tobacco Company.LLC
2. Application/Project status: ®Proposed(New Permit) ❑Existing Permit/Project
If a modification,provide the existing permit number:WQ00 and issued date:
O
If new construction but part of a master plan,provide the existing permit number:WQ00 d
3. County where project is located:Wilson E o
4. Approximate Coordinates(Decimal Degrees):Latitude: 35.6582° Longitude:-77.9248° CD
7J
5. Parcel ID(if applicable): 3619-96-2312 (to
(or Parcel ID to closest downstream sewer) .
III. CONSULTANT INFORMATION: ® -"
1. Professional Engineer:Robert S.Bartlett License Number:020106co
y
Finn:Bartlett Engineering and Surveying,PC
Mailing address: 1906 Nash Street North
City:Wilson State:NC, Zip:27893-1726
Phone number: 252 399-0704 Email Address:roberttbartletteng.com
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name:City of Wilson Permit Number:NC0023906
Owner Name:City of Wilson
V. RECEIVING DOWNSTREAM SEWER INFORMATION(if different than WWTF):
1. Permit Number(s):WQCSD0010 Downstream(Receiving)Sewer Size: 8 inch
System Wide Collection System Permit Number(s)(if applicable):WQCSD0010
Owner Name(s):Town of Black Creek
FORM:FTA 04-16 Page 1 of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately-Owned Public Utility,has a Certificate of Public Convenience and Necessity been attached?
❑Yes ❑No ®N/A
2. If the Applicant is a Developer of lots to be sold,has a Developer's Operational A_i eement(FORM:DEV)been attached?
0 Yes ❑No ®N/A
3. If the Applicant is a Home/Property Owners'Association,has an Operational Agreement(FORM:HOA)been attached?
❑Yes ❑No EN/A
4. Origin of wastewater:(check all that apply):
❑Residential Owned ❑Retail(stores,centers,malls) ❑Car Wash
❑Residential Leased ❑Retail with food preparation/service 0 Hotel and/or Motels
❑School/preschool/day care ❑Medical/dental/veterinary facilities ❑ Swimming Pool/Clubhouse
❑Food and drink facilities ❑Church 0 Swimming Pool/Filter Backwash
/�1 Businesses/offices/factories ❑Nursing Home ❑Other(Explain in Attachment)
5. Nature of wastewater: 100%Domestic/Commercial %Commercial
Industrial(See 15A NCAC 02T.0103(20))
)'Is there a Pretreatment Program in effect? ❑Yes 't No
6. Has a flow reduction been approved under 15A NCAC 02T.0114(1)7 ❑Yes ®No
If ves, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type(see 02T.0114(0) Daily Design Flow*.b No.of Units Flow
Factory-employee generated sewage only; 25 gal/day 80 2,000 GPD
no industrial waste included.
Warehouse 100 gal/loading bay 4 400 GPD
gal/ GPD
gal/ GPD
gal/ GPD
gall GPD
Total 2,400 GPD
a See 15A NCAC 02T.0114(b), (d),(e)(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 of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S.42A-4).
b Per 15A NCAC 02T.0114(c),design flow rates for establishments not identified[in table 15A NCAC 02T.0114]shall be
determined using available flow data,water using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by project:2,400 GPD(per 15A NCAC 02T.0114)
Do not include future flows or previously permitted allocations
If permitted flow is zero,indicate why: •
0 Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit Number:
0 Rehabilitation or replacement of existing sewer with no new flow expected
❑Other(Explain):
FORM:FTA 04-16 Page 2 of 5

VU. GRAVITY SEWER DESIGN CRITERIA(If Applicable)-02T.0305&MDC(Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
6 59 PVC
D Section II&III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
D Section III contains information related to minimum slopes for gravity sewer(s)
> Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA(If Applicable)—02T.0305&MDC(Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates(Decimal Degrees):Latitude:35.6582° Longitude:-77.9248°
3. Design flow of the pump station: 0.006 millions gallons per day(firm capacity)
4. Operational point(s)of the pump(s): 80 gallons per minute at 42 feet total dynamic head(TDH)
5. Summarize the force main to be permitted(for this Pump Station):
Size(inches) Length(feet) Material
4 3,231 PVC
4 540 DIP
6. Power reliability in accordance with 15A NCAC 02T.03050i?(1):
❑ Standby power source or pump with automatic activation and telemetry-15A NCAC 02T.0305(h)(1)(B)_
D Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
® Portable power source with manual activation,quick-connection receptacle and telemetry- 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry- 15A NCAC 02T.0305(h)(1)(C):
D It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant(draft agreement)
and is compatible with the station.
D 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.
FORM:FTA 04-16 Page 3 of 5

IX. SETBACKS&SEPARATIONS—(02B.0200 & 15A NCAC 02T.0305(I)):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(1)&(&) ®Yes ❑No
D 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) 24 inches
Water mains(vertical-water over sewer including in benched trenches) 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 I or
Class II impounded reservoirs used as a source of drinking water 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(see item IX.2) 50 feet
**Any other stream,lake,impoundment,or ground water lowering and surface drainage
ditches 10 feet
Any building foundation 5 feet
Any basement _ 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
D 15A NCAC 02T.0305(z)contains alternatives where separations in 02T.0305(t)cannot be achieved.
D **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
D If noncompliance with 02T.0305(f)or(g) see Section X of this application
2. Does the project comply with separation requirements for wetlands?(50 feet of separation) Yes 0 No ❑N/A
D See the Division's draft separation requirements for situations where separation cannot be meet
D No variance is required if the alternative design criteria specified is utilized in design and construction
D As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B.0200? Yes ❑No 0 N/A
D This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑Yes ®No
individual permits or 401 Water Quality Certifications?
D Information can be obtained from the 401 &Buffer Permittina Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6)(additional permits/certifications)? ®Yes 0 No
Per 15A NCAC 02T.0105(c)(6),directly related environmental permits or certification applications are 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.).
6. Does this project include any sewer collection lines that are deemed"high-priority?"
Per 15A NCAC 02T.0402,"high-priority sewer"means"any aerial sewer,sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
0 Yes 1.1 No ❑N/A
D 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 representative at least once every six-months and inspections
documented per 15A NCAC 02T.0403(a)(5)or the permitee's individual System-Wide Collection permit.
FORM:FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T,the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains(latest version).and the Gravity Sewer Minimum Design Criteria(latest version)as applicable?
®Yes ❑No
If No,complete and submit the Variance/Alternative Design Request application(VADC 10-14)and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
01W14-`[ �. f��Z.'n.R�( attest that this application for
(Professional Engineer's name from Application Item III.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, Gravity Sewer
Minimum Design Criteria for Gravity Sewers(latest version),and the Minimum Design Criteria for the Fast-Track Permitting
of Pump Stations and Force Mains(latest version). Although other professionals may have developed 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.
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 afine not to exceed$10,000,as well as civil penalties up to$25,000 per violation.
gat i n► ��_..._.....
North Carolina Professional Engineer's seal,signature,and date: • •
�� alp/ �$
:q4 1
- EAL
20106 —
*o ••FNGIN ��N.,FRµ
........BP S\``\
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3. Applicant's Certification per 15A NCAC 02T.0106(b):
I, �L'?,��Y Cec l)elCh041 S S ? v P attest that this application for
(Signature Authority's name&title from Application Item I.3.)
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 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed$10,000 as well as civil penalties up to$25,000 per violation.
Signature: J.•— ‘1,.../_4..1,6160e12( J( /1 Date: 2 '2–I
FORM:FTA 04-16 Page 5 of 5

NC Dept of Environmental Quality
MAR 8 2oz
Raleigh Regional Office
BARTLETT
ENGINEERING&SURVEYING,PC
1906 Nash Street North Wilson,NC 27893-1726
Phone:[phone] Fax:[phone]
www.bartlett.us.com
March 5, 2018
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Raleigh Regional Office
Water Quality Section
Mr.Jason Robinson, PE
3800 Barrett Drive
Raleigh, NC 27609
Reference: Wind River Tobacco Company, LLC
4792 Potato House Court
Wilson, NC 27893
Dear Mr. Robinson:
Enclosed for your review and approval is the FAST TRACK SEWER SYSTEM APPLICATION for the
Wind River Tobacco Company facility located at 4792 Potato House Court in Wilson County. The
proposed sewer pump station includes the installation of a 4" PVC sewer force main within the
ROW of SR 1614 Potato House Court and SR 1615 Yank Road. This project is scheduled to begin as
soon as all required permits are obtained. Enclosed are one original and one copy of the
application package including the following items:
1. Cover Letter
2. $480 Application Fee
3. Fast Track(Form: FTA 04-16)Application
4. NC Secretary of State corporation documentation for Wind River Tobacco Company, LLC
5. Flow Tracking/Acceptance Forms(Form: FTSE 04-16) City of Wilson &Town of Black Creek
6. Site Maps
7. Power Reliability Plan Letter
P\PROJECT FILES\Wind River Tobacco\Foce Main Calm&Permit Application\cover letter doc

Reference: Wind River Tobacco Company, LLC
4792 Potato House Court
Wilson, NC 27893
Should you have any questions or require further information during your review, please let us
know.
Respectfully, \\\\\\\`o twiiii ullp///
'\ ' = ' SEAL
R•be . Ba -tt, PE _ x.11
20106
•
Enclosures <9,<.••
P\_PROJECT FILES\Wmd River Tobacco\Foce Mani Cala&Permit Application\cover letter doc

'fi'LL,M LIMITED LIABILITY COMPANY ANNUAL REPORT
10/2017
NAME OF LIMITED LIABILITY COMPANY: Wind River Tobacco Company, LLC
Fling Office Use Only
SECRETARY OF STATE ID NUMBER: 1554658 STATE OF FORMATION: NC E-Filed Annual Report
1554658
CA201804REPORT FOR THE CALENDAR YEAR: 2018 2J13/2018 04 20 01716
SECTION A:REGISTERED AGENT'S INFORMATION Changes
1.NAME OF REGISTERED AGENT: Welchons, Bennett Lee
2.SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED OFFICE STREET ADDRESS&COUNTY 4.REGISTERED OFFICE MAILING ADDRESS
4792 Potato House Court P.O. Box 528
Wilson,NC 27893 Wilson County Black Creek,NC 27813
SECTION B:PRINCIPAL OFFICE INFORMATION
1.DESCRIPTION OF NATURE OF BUSINESS: Tobacco Product Manufacturer
2.PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS&COUNTY 5.PRINCIPAL OFFICE MAILING ADDRESS
4792 Potato House Court P.O.Box 528
Wilson, NC 27893 Black Creek,NC 27813-0528
6. Select one of the following if applicable.(Optional see instructions)
❑ The company is a veteran-owned small business
1-1 The company is a service-disabled veteran-owned small business
SECTION C:COMPANY OFFICIALS(Enter additional company officials in Section E.)
NAME: Kevin Freudenthal NAME: Brian Tascher NAME: Bennett Lee Welchons
TITLE. Chief Executive Officer TITLE: Chief Financial Officer TITLE: Senior Vice President
ADDRESS: ADDRESS: ADDRESS:
P.O. Box 528 P.O.Box 528 PO Box 528
Black Creek, NC 27813 Black Creek,NC 27813 Black Creek, NC 27813
SECTION D:CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Bennett Lee Welchons 2/13/2018
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of Thls form.
Bennett Lee Welchons Senior Vice President
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronically.
MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525

State of North Carolina
ykkr
UV, jt) Department of Environmental Quality
fez 7 "Js• ;T= ,
�; V. � Division of Water Resources
.
Division of Water i1e5ources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: City of Wilson
Project Name for which flow is being requested: Wind River Tobacco, LLC.
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: Hominy Swamp Water Reclamation Facility
b. WWTP Facility Permit#: NC 0023906
All lows are in MGD
c. WWTP facility's permitted flow 14 MGD
d. Estimated obligated flow not yet tributary to the WWTP 0.951465 MGD
e. WWTP facility's actual avg. flow 8.77 MGD
f. Total flow for this specific request 0.006 MGD
g. Total actual and obligated flows to the facility 9.721465 MGD
h. Percent of permitted flow used 69.4%
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 Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm/pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
* The Firm Capacity 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.
***A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is<0.
Downstream Facility Name (Sewer):
Downstream Permit Number:
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I W. T. Bass IV 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 indicates acceptance of this wastewater flow.
sA/Ig
Signing D ficial Signature Date
Page 2 of 6
FTSE 04-16

State of North Carolina
{ , T it., -, Department of Environmental Quality
s J,.+' ; ' }' , ,
( i`roti Division of Water Resources
Division of Water Lit .1.U'cC5 Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Alocation: Town of Black Creek
Project Name for whi h flow is being requested: Wind River Tobacco Company, LLC
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 o l the proposed wastewater flow.
I. Complete this s 'on only if you are the owner of the wastewater treatment plant.
a. WWTP Facilit Name:
b. WWTP Facili . Permit#:
All flows are in MGD
c. WWTP facili '$
permitted flow
d. Estimated obli ated flow not yet tributary to the WWTP
e. WWTP facili 's actual avg.flow
f. Total flow for 's specific request
g. Total actual an obligated flows to the facility
h. Percent of p ,itted flow used
II. Complete this sect'on for each pump station you are responsible for along the route of this
proposed wastewa er 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 Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity,* (Firm/pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
Yank Rd. 0.115 0.046 0.006 0 0.006 0.040
Contentnea Cr./ 0.86 0.346 0.114 0.005 0.119 0.227
Evansdale Rd.
*The Firm Capacity of any pump station is defined as the maximum pumped flow that_✓�
can be achieve with the largest pump taken out of service.
**Design Aver ge Daily Flow is the firm capacity of the pump station divided by a peaking
factor(pf)not less than 2.5.
***A Planning Assessment Addendum shall be attached for each pump station located
between the pr 'ect connection point and the WWTP where the Available Capacity is<0.
Downstream Facility ame(Sewer): Town of Black Creek Wastewater Collection System
Downstream Permit N ber: WQCSD0010
Page 1 of 6
FTSE 04-16

III. Certification Stat ent:
I (g F:G. ai E certify to the best of my knowledge that the addition of
the volume of wastev4ater 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 re ated sanitary sewer overflows or overburden any downstream pump station
en route to the receiv g treatment plant under normal circumstances, given the implementation
of the planned impr vements identified in the planning assessment where applicable. This
analysis has been p ormed in accordance with local established policies and procedures using
the best available dat . This certification applies to those items listed above in Sections I and II
plus all attached p1 1 ing assessment addendums for which I am the responsible party.
Signature of this fo I indicates acceptance of this wastewater flow.
i _ 3 ) s t C -
Signing d 'cial Sign,ture Date
Page 2 of 6
FTSE 04-16

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Wind River Tobacco Co.,LLC
WIND RIVE 4792 Potato House Ct
TOBACCO COMPANY Wilson,NC 27893
January 31, 2018
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Raleigh Regional Office
Water Quality Section
1628 Mail Service Center
Raleigh, NC 27699
Re: Letter of Power Reliability
Wind River Tobacco Company, LLC Pump Station,
4792 Potato House Court, Wilson County,NC
To whom it may concern:
As per 15A NCAC 02T.0305(h)(I)(C) criteria for pump station power reliability, a portable
power generation unit or portable, independently-powered pumping units, associated
appurtenances and personnel are available for distribution and operation of the pump station.
Sincerely,
Lee Welchons
Senior Vice President
Wind River Tobacco Company, LLC
P.O. Box 528
Black Creek, NC 27813
L