WQ0040250_Issuance of Permit_20180823

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ROY COOPER
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MICHAEL S.BEGAN
Secretary NORTH CAROLINA
LINDA CULPEPPER Environmental Quality
Interim Director
August 23, 2018
H. E. Whichard,Jr. RECEIVED/DENRIDWR
P.O. Box 1863
Greenville, NC 27835 AUG 2 9 2018
Subject: Permit No. WQ0040250 Water Resources
H.E. Whichard,Jr. Property Sewer Project Permitting Section
Wastewater Collection System Extension
Pitt County
Dear Mr. Whichard:
In accordance with your application received on August 22, 2018, we are forwarding herewith Permit No.
WQ0040250, dated August 23, 2018,to H.E. Whichard,Jr.for the construction 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 This permit shall be effective from the date of issuance until rescinded, and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 request must be made and
approved.
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 H.E.Whichard,Jr.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.
State of North Carolina I Environmental Quality I Water Resources—Water Quality Regional Operations—Washington Regional Office
943 Washington Square Mail,Washington,NC 27889
252-946-6481

H.E. Whichard,Jr.
H.E. Whichard,Jr. Property Sewer Project
WQ0040250
August 23, 2018
If you need additional information concerning this matter, please contact Allen Clark at(252)948-3918
or via e-mail at [e-mail].
Sincerely,
for Linda Culpepper
Interim Director, Division of Water Resources •
By Robert Tankard
Assistant Regional Supervisor
Water Quality Regional Operations Section
Washington Regional Office
cc: Igor Palyvoda, PE (electronic copy)
Clifton H. Cahoon, PE, GUC(electronic copy)
Washington Regional Office Files
Water Resources Central Files
PERCS (electronic copy)
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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
H.E. Whichard, Jr.
for the construction and operation of approximately 459 linear feet of 2-inch diameter PVC SDR-21 force
main to serve as part of the H.E. Whichard, Jr. Property Sewer Project, and the discharge of 718 gallons
per day(0.816 acres of Commercial Development Property @ 880 GPD/acre)of domestic wastewater into
the Greenville Utilities Commission Wastewater Treatment Plant, pursuant to the permit request received
on August 22, 2018, and in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design
Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast-
Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 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 from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
fa....17
for Linda Culpepper
Interim Director, Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number: WQ0040250
Permit Issued: August 23, 2018,
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SUPPLEMENT TO PERMIT COVER SHEET
H.E. Whichard, Jr.
Construct, and then operate upon certification the aforementioned wastewater collection extension.The
sewage and wastewater collected by this system shall be treated in the Greenville Utilities Commission
Wastewater Treatment Plant in accordance with Permit Number NC0023931.
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 as
applicable; and the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 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 H.E. Whichard, Jr. and the
Greenville Utilities Commission for the collection and final treatment of wastewater is in full force and
effect. [15A NCAC 02T.0304(h)]
2. No flow in excess of the quantity permitted herein, 718 GPD, shall be made tributary to the subject
sewer system until an application for permit modification for an increase in flow has been submitted
to and approved by the Division. [15A NCAC 02T.0304(b)]
3. The abandonment of any existing wastewater facilities including septic systems being replaced by new
sewer infrastructure shall be done in accordance with the applicable agency having compliance
oversight on such facilities. [15A NCAC 02T.0105(c)(6)]
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 a 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 approved. [15A NCAC 021.0104; G.S 143-215.1(d3)]
2. This permit shall become voidable unless 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, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 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]
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• 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 systeminspectedevery shall be 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 1SA 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.
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.
Page 5 of 8

5. The Permittee shall report by telephone to a water resources staff member at the Washington
• Regional Office, telephone number(252) 946-6481, 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 gallons; or
c. Any 550 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 violation 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 of 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 documentation shall include the following:
a. One copy of the project construction record drawings(plan & profile views of sewer lines &force
mains) of the wastewater collection system 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.
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
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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, include 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 021.0105(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 12, 1996 as applicable;the Division's Minimum Design
Criteria for the Fast-Track Permitting of Pump Station and Force Mains adopted June 1, 2000 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.
[15A NCAC 02T.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
government agencies which have jurisdiction or obtaining other permits which maybe required by the
Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 8

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: H.E. Whichard,Jr.
PERMIT#: WQ0040250
PROJECT: H.E. Whichard,Jr. Property Sewer
ISSUE DATE: August 23, 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
to 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, herebystate 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
ENGINEER'S CERTIFICATION
I, , as a duly registered Professional En (neer in the State of North Carolina,
having been authorized to observe (❑periodically, ❑ weekly, 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 021; the
Division of Water Resources'(Division)Gravity Sewer Minimum Design Criteria adopted February 12, 1996
as applicable; the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 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):
NC DWR—Water Quality Regional Operations Section 943 Washington Square Mall, Washington, NC 27889
Washington Regional Office Phone: [phone] FAX:[phone]

Central Files: APS _ SWP
8/23/2018
Permit Number W00040250 Permit Tracking Slip
Program Category Status Project Type
Non-discharge Active New Project
Permit Type Version Permit Classification
Gravity Sewer Extension,Pump Stations,&Pressure Sewer Extensions 1.00 Individual
Primary Reviewer Permit Contact Affiliation
allen.clark
•
Coastal SWRule
Permitted Flow
718
Facility
Facility Name Major/Minor Region
H.E.Whichard,Jr. Property Sewer Minor Washington
Location Address County
2650 Stantonsburg Rd Pitt
Wellness Dr Facility Contact Affiliation
Greenville NC 27835
Owner
Owner Name Owner Type
H E Whichard Jr Non-Government
Owner Affiliation
H E.Whichard Jr.
PO Box 1863
Dates/Events Greenville NC 27835186
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
8/23/2018 8/22/2018 8/23/2018 8/23/2018
Regulated Activities Requested/Received Events
Wastewater collection Additional information requested
Additional information received
Outfall
Wates Subbasin
6121
Woody Whichard 66-30/531
2.40 723
DATE
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State of North Carolina
Department of Environmental Quality
Dw R
Division of Water Resources
15A NCAC 02T.0300—FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16&SUPPORTING DOCUMENTATION
Application Number: ad% 5 0 (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: H.E.Whichard,Jr.(company, municipality,HOA,utility,etc.)
2. Applicant type: ®Individual ❑Corporation ❑General Partnership ❑ Privately-Owned Public Utility
❑Federal ❑ State/County ❑Municipal ❑ Other
3. Signature authority's name: H.E.Whichard,Jr. per 15A NCAC 02T.0106(b)
Title:Owner
4. Applicant's mailing address: P.O. Box 1863
City: Greenville State:NC Zip: 27835-
5. Applicant's contact information:
Phone number:[phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name:H.E.Whichard,Jr.
2. Application/Project status: ®Proposed(New Permit) ❑Existing Permit/Project
If a modification,provide the existing permit number:WQ00 and issued date:
If new construction but part of a master plan,provide the existing permit number:WQ00
3. County where project is located: Pitt
4. Approximate Coordinates(Decimal Degrees):Latitude: 35.606571° Longitude:-77.418374°
5. Parcel ID(if applicable): 16126& 16127
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Igor Palyvoda License Number:043249
Firm: Baldwin Design Consultants,PA
Mailing address: 1700-D East Arlington Boulevard
City: Greenville State:NC Zip: 27858-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name:Greenville Utilities Commission Permit Number:NC0023931
Owner Name: Greenville Utilities Commission
V. RECEIVING DOWNSTREAM SEWER INFORMATION(if different than WWTF):
1. Permit Number(s):WQ Downstream(Receiving)Sewer Size: 8 inch
System Wide Collection System Permit Number(s)(if applicable):WQCS00014
Owner Name(s): Greenville Utilities Commission
FORM: FTA 04-16 Page 1 (A'S

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 ZN/A
2. If the Applicant is a Developer of lots to be sold,has a Developer's Operational Agreement (FORM: DEV)been attached?
❑Yes ❑No ZN/A
3. If the Applicant is a Home/Property Owners'Association,has an Operational Agreement(FORM: HOA)been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater:(check all that apply):
❑Residential Owned ❑Retail(stores,centers,malls) 0 Car Wash
❑Residential Leased ❑Retail with food preparation/service 0 Hotel and/or Motels
❑School/preschool/day care ❑Medical/dental/veterinary facilities 0 Swimming Pool/Clubhouse
❑Food and drink facilities ❑Church 0 Swimming Pool/Filter Backwash
❑Businesses/offices/factories ❑Nursing Home ❑Other(Explain in Attachment)
5. Nature of wastewater: %Domestic/Commercial 100%Commercial
%Industrial(See 15A NCAC 02T.0103(20))
�Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .01 14(1)? ❑ Yes ® No
D If yes.provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type(see 02T.0114(fl) Daily Design Flow a,b No.of Units Flow
Commercial 880 gal/acre 0.816 718 GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
Total 718 GPD
a See 15A NCAC 02T.0114(b). (d). (e)(l) 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.01141 shall be
determined using available flow data, water using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by project: 718 GPD(per I5A NCAC 02T.0114)
' Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑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
0 Other(Explain):
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA(If Applicable)-02T.0305&MDC(Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
➢ Section II&III 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)
➢ 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: . Longitude:- .
3. Design flow of the pump station: millions gallons per day(firm capacity)
4. Operational point(s)of the pump(s): gallons per minute at feet total dynamic head(TDH)
5. Summarize the force main to be permitted(for this Pump Station):
Size(inches) Length(feet) Material
2 459 SDR-2 I
6. Power reliability in accordance with 15A NCAC 02T.0305(h)(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
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
0 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):
➢ 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.
➢ 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(f)):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(f)&(g) ®Yes 0 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) 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
> l5A NCAC 021.0305(g)contains alternatives where separations in 02T.0305(f)cannot be achieved.
> **Stream classifications can be identified using the Division's NC Surface Water Classifications wehpage
> 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
➢ See the Division's draft separation requirements for situations where separation cannot be meet
> No variance is required if the alternative design criteria specified is utilized in design and construction
➢ 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 ® N/A
> 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?
➢ Information can be obtained from the 401 &Buffer Permitting Branch
5. Does project comply with 15A NCAC 021.0105(c)(6)(additional permits/certifications)? ®Yes ❑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 021.0402, "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 ®No ❑N/A
➢ 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 Desi_n Criteria for the Permitting of Pump Stations
• • and Force Mains(latest version).and the Gravity Sewer Minimum Design Criteria I 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:�
1. I 0 C 1�a1 (\pi 0 Q� attest that this application for
9 (Professional lingineer's name from Application Item 111.1.)
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 hest 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 he consistent with the proposed design.
NOTE - In accordance with General Statutes 143-215.6A and 143-215.6)3. any person vv h, know ingly makes anv false
statement. representation. or certification in any application package shall he guilty of a ('lass 2 misdemeanor. vv loch may
include a tine not to exceed S 10.000. as well as civil penalties up to$225.000 per violation.
North Carolina Professional Engineers seal,signature, and date: `0%0NRpL/H ��
",, ,
. •Q
• EPL
32 `9
$ � �6 �:oh:
'/,•FNG`t, .yJ
3. Applicant's Certification er ISA NCAC O'T.01O( I,
i• - __--- L • 15. w Vg2-____ attest that this application for
(Signature Authority's name .Ville from \pplication Item 1.3.)
has been reviewed by me and i, 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 arc 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 he 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 he returned to me as
incomplete.
NOTE - In accordance with General Statutes 141 2.15.6 \ and 141,215.6B. any person who knowingly makes any false
statement. representation. or cer 'tication ' any application pari:kag*e sh• e guilty of a Class 2 misdemeanor. which may
include a tine not to exceed $ .000 a• .ell as civil penalties up to$2,5.000 per violation.
Signature: -- ---• Date: _--
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
. Department of Environmental Quality
• Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Greenville Utilities Commission
Project Name for which flow is being requested: HE Whichard, Jr. Parcels 16126& 16127
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: Greenville Utilities Commission
b. WWTP Facility Permit#: NC0023931
All flows are in MGD
c. WWTP facility's permitted flow 17.5
d. Estimated obligated flow not yet tributary to the WWTP 2.29
e. WWTP facility's actual avg. flow 9.540
f. Total flow for this specific request .0007
g. Total actual and obligated flows to the facility 11.830
h. Percent of permitted flow used 67.6
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***
Southside 30.2 12.08 8.086 .970 9.056 3.024
* 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): Not Known
Downstream Permit Number: Not Known
Page 1 of 6
FTSE 04-16

• III. Certification Statement:
• I Clifton H. Cahoon,PE 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.
. 78.--/‘
Signi Official Signature Date
•
Page 2 of 6
FTSE 04-16

Baldwin Design Page 1 of 1
Consultants,PA
ENGINEERING•SURVEYING•PLANNING
August 16, 2018
Washington Regional Office
Water Quality Section
943 Washington Square Mall
Washington, North Carolina 27889
REF: Fast Track Sewer Application Narrative for H.E. Whichard, Jr.
To Whom It May Concern:
n onsbur Road in Greenville, Pitt Count North
The project site is located at 2650 Stantonsburgy,
Carolina. The owner of the property, H.E. Whichard, Jr., intends to install a private 2"
force main to serve the property. The property currently has a residential building on it
that is served by a septic system. However, this building will be demolished and
commercial development will be put in its place in the near future. Due to space limitations
at the project site, future commercial development needs to be served by the proposed
2" private pressure main, which will discharge into an existing public gravity sewer
manhole on Bethesda Drive. Future commercial development will have a separate septic
tank and a separate pump tank so a STEP system will not be used.
The proposed private sewer force main extension project will consist of the installation of
5 new non-gravity manholes. 459 LF of 2" SDR-21 force main will need to be permitted
for the installation of this private sewer force main extension project.
The proposed private sewer force main extension project will serve about 0.816 acres of
commercial land. Therefore, the total daily design flow that needs to be permitted for this
proposed private sewer force main extension project is 718 gpd (880 gpd/acre x 0.816
acres = 718 gpd).
If there are any questions or concerns, please contact me at [phone] or via email
at [e-mail].
Sincerely, iiiiii
GPROuit,
Q� �gslOiyq�• '
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SEP 9 _
Igo Palyvoda, P pe32�
FNG1Nzz
G((/.: 0
1700-D EAST ARLINGTON BOULEVARD. GREENVILLE. NORTH CAROLINA 27858
NCBELS Lic.No.C-3498 TEL [phone] FAX [phone] www.BALDWINDESIGNCONSULTANTS.coM

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