WQ0040379_Application (FTSE)_20181107

erit dumber VI/Q0040379
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions -
Primary Reviewer
dean.hunkele
Coastal.SWRule
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. Permitted Flow
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Name .I
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Town of Teachey
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. Government - Municipal
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Owner Affiliation
� ILois
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McCartney -
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PO Box 145 .
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I Teache Y NC 28464014
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049 Issue I App Received Draft Initiated Issuance
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MC DAVID AssocIATES,
INC.
Im 01
N C.SIC'.Engineers • Planners • Land Surveyors
CORPORATE OFFICE GOLDSBORO OFFICE
[phone] • Fax [phone] [phone] • Fax [phone]
E-mail: [e-mail] E-mail: [e-mail]
3714 N. Main Street • P.O. Drawer 49 109 E. Walnut Street e P.O. Box 1776
Farmville, NC 27828 Goldsboro, NC 27533
October 5, 2018
NC Department of Environmental Quality
Water Quality Permitting-PERC S Unit
512 N. Salisbury Street, Suite 925
Subject: Sewer Extension Permit Request
Contract No. 2 - Sanitary Sewer
Extension - Bay Street
2017 Sanitary Sewer Improvements -
Bay Street Project
Town of Teachey
Dear Sir or Madam:
We are submitting the following sewer extension application for the Town of Teachey 2017
Sanitary Sewer Improvements - Bay Street Project. The purpose of this project is to extend gravity
Sewer along Bay Street. This project consists of the following:
Approximately 815 LF of 8" gravity sewer that will tie into the existing 12" gravity sewer
system.
We are submitting the following in this application:
l . Town of Teachey check #6614, dated August 27, 2018 in the amount of $480.00, payable to
NC Department of Environmental Quality for the application fee. This check was actually
mailed directly from the Town before the application was submitted. Check will be held
until application is received per conversation with Deborah Bore on August 31, 2018.
2. Two (2) copies of the completed Sewer System Extension (Form: SSEA 04-16) Application.
3. Flow Tracking/Acceptance Form (Form FTSE 04-16), as received from the Town of Wallace.
4. Two (2) sets of Plans "Town of Teachey 2017 Sanitary Sewer Improvements - Bay Street
Project," dated February 21, 2018, consisting of 11 pages, (MAI Plan File #T-507 Orange).
5. Two (2) copies of specifications for "Town of Teachey 2017 Sanitary Sewer Improvements -
Bay Street Project," dated October 5, 2018.
6. Engineering Calculations - Engineering calculations relevant to gravity sewer extension are
included (Exhibit 1).
D805JWM18 1 4:33 PM
TEACHEY-17-SWWR-SEWER-EXTENSION--PERMIT-REQ-LTR-008.wpd 181005

7. Down Stream Sewer Evaluation for the following (Exhibit 2)
a) Tie -into the existing 12" gravity sewer at the intersection of Bay Street and 2nd Street.
8. Two (2) color copies of USGS Topographic Maps and street level map showing the project
area (Exhibit 3).
9. There are no wetlands or surface waters within 100 feet of the sewer system extension,
therefore a Watershed Classification Attachment (Form: WSCAS 0 1- 15) is not required. See
map from NC Surface Water Classifications website showing the project area (Exhibit 4)
and map from National Wetlands Inventory (Exhibit 5).
10. Power Reliability Plan - There is no power reliability plan since the gravity sewer discharges
into the existing gravity sewer collection system.
11. The environmental assessment and final environmental document - Not required
Please review the documents and issue permit at your earliest convenience. If you have any
questions please contact me.
Sincerely,
McDavid Associates, Inc.
oseph W. McKem , P.
Farmville Office
JWM/saw
Enclosures
cc: Honorable Lois McCartney, Mayor, Town of Teachey (w/appl)
D805JWM18 2
TEACHEY- 17-SVOJWR-SEWER-EXTENSION--PERMIT-REQ-LTR-008.wpd
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181005

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2017 Sanitary Sewer Improvements - Bay Street Project
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8/9/2018, 3:31 PM

State of North Carolina
DW R. Department of Environmental. Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .0300 —SEWER SYSTEM EXTENSION APPLICATION
SSEA 04-1 6 &SUPPORTING DOCUMENTATION
Application NumberwC Ck qO 3 (to be completed by DWR)
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Teachev
2. Applicant type: El Individual ❑ Corporation General Partnership • •
❑ p ❑ Privately -Owned- Public Utility
0 Federal ❑ State ® Municipal County
P ❑
3. Signature authority's name: Lois McCartnev per 15A NCAC 02T .0106 b
Title: M__ aXor
4. Applicant's mailing address: PO Box 145
City: Teache State: NC Zip: 28464-0145
5
Applicant's contact. information:
Phone number. 910 tea,eache own285-7564 Email Address: donna tyt .com
r,
U. PROJECT INFORMATION: OCT09
1. Project name: 2017 Sanitary Sewer Improvements -.Bay Street jY•
2. Application/Project status: Proposed (New Permit) ❑ Existing Permit/Project
3. If a modification, provide the existing permit number: WQ00 and issued date:
4. If new construction but part of a master plan, provide the existing permit number: WQ 00
5. County where project is located: Duplin
6. Approximate Coordinates (Decimal Degrees): Latitude: 34.77263 oLon Longitude: -78.0052o
III, CONSULTANT INFORMATION:
1 Professional Engineer: Joseph W. McKemev License Number: 028431
Firm: McDavid Associates, Inc
Mailing address: PO Drawer 49
City: Farmville State: NC Zip: 2778828-0049
Phone number: Q12J 753-2139 Email Address: 'wM2 mcdavid-inc.com
IV, WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Wallace Regional Wastewater Treatment Plant Permit Number: NC000 3450
Owner Name: Town of Wallace
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): W00022525
System Wide Collection System Permit Number(s):
Owner Name(s): Town of Teachev
FORM: S SEA 04-16
Page 1 of 6

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and ' n Necessity been submitted?
❑ Yes []No ZN/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's O erational Agreement FORM: DEV been submitted
0Yes []No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Aereement FORM: �I
!.A►) been submitted?.
El Yes E]No ZN/A
4. Origin of wastewater: (check all that apply):
Z Residential Owned El Retail stores centers malls r.(stores, � ) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service
❑ Hotel and/or
o Motels
❑ School / preschool / day care ❑ Medical / dental I veterinary facilities. Swimmin ❑ g Pool /Clubhouse
0 Food and drink facilities ❑Church
ElSwimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home
Other
❑ (Explain in Attachment)
5. Is/was an Environmental Assessment required under. 15A NCAC 0.1 C? Yes Z No
If yes, submit the appropriate final environmental document (FONSI, ROD etc.
6. Nature of wastewater: 100 % Domestic/Commercial _% Other waste — specify:
% Industrial (See 15A NCAC Q2T .0103(20))
7. Wastewater generated by project: 5.040 GPD (per.15A NCAC 02T .0114
Has a flow reduction been approved under 15A NCAC 02T .0114[f)? Yes No
If yes, provide a copy of flow reduction approval letter
8. Summarize wastewater generated by project:
Establishment Type Daily. Design Flow a'b No. of Units
Flow
Future residential homes 360 gal/day g Y 14 52040 GPD
gall GPD
gal/ GPD
gall GPD
gal/ GPD
gall GPD
Total 5,040 GPD
a See. 15A. NCAC 02T .0114 b d e 1 and e 2 for caveats to wastewater designflow rates '
dwelling;� {i.e., minimum flow per
proposed unknown non-residential development uses; public access facilities located near high ubh use
areas; and residential property located south or east of the Atlantic Intracoastal WaterwayP
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 ed below shall, be determined usrnidentified •
i
available flow data, water using fixtures, occupancy or operation patterns, and other measured data. g
FORM: SSEA 04-16 Pag
e. 2 of 6

VII. GRAVITY SEWER DESIGN CRITERIA 15A NCAC 02T .0305:
1. Summarize Gravity Sewer to be permitted:
Size (inches) Length (feet) Material
8 815 PVC
VIII. PUMP STATION DESIGN CRITERIA — 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: 0Longitude,: - °
3. What is the nearest 100-year flood elevation to the facility? feet mean sea level. Source:
Is any of the proposed proj ect located within the 100-year flood El Yes ❑ lain?No
p
4. If Yes, are the following items provided per 15A NCAC 02T .0305(-"-,
Water -tight seals on all station hatches and manholes, and
Control panels vents extend two feet above the I00-year flood plain elevation?
El Yes ❑ No ❑ N/A
If No, what measures are being taken to .protect them against flooding?
5. Finish grade elevation of the pump station:
6. Design flow of the pump station: millions gallons per day{firm capacity)
p ty)
7. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head
Yn (TD H)
8. Number of pumps provided:
9. Number of pump cycles at average daily.flow: _ cycles per hour
10. Power reliability in accordance with 15A NCAC 02T -.0305 h 1
[] Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T •
Required for allpump stations with an average dailyflow eater 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:
E] Portable power source with manual activation, quick -connection receptacle -
.0305(h)(I)(C)
q p and telemetry 1 SA NCAC 02T
or
❑ Portable pumping. unit with plugged emergency um connect' - .
gg g Y pump connection and telemetry 15A NCAC Q2T .0305(h)(1)(C}.
➢ It shall be demonstrated to the Division that the portable source is owned or contracted ' t d by .the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple um stations an evaluation
storage capacities .and the rotation schedule f pump i of all the pump stations
p o the portable power source or pump, including travel timeframes, shall be
provided in the case of a multiple station power outage.
FORM: SSEA 04-16
Page 3 of 6

VIII. PUMP STATION DESIGN CRITERIA (continued)
11. Summarize the pump station design elements:
Design Element
Plan Sheet
Reference
Specification
Reference
Power Reliability Source and Associated Elements
Screened wet Well. Vent
Check Valves, Gate Valves, etc.
Control Panel
Restricted Access Elements (Fence, Wet well Lock, etc)
Audible and Visual Alarms
Telemetry/SCADA
Level . Controls
Weatherproof Sign with Required Information
Air Relief Valves
12. Summarize the force main to be permitted:
Size (inches)
Length (feet)
Material
High
Elevation (feet)
Discharge
Elevation (feet)
Pump -Off
Elevation (feet)
13. Air release valve station locations net I r%A WrAr AIT n'1ngM.
Air Release Valve # Station Plan Sheet Reference
FORM: SSEA 04-1 d
Page 4 of 6

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305 &
(g) Yes [:]No
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.03Q5(f} cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Water Classifications web a
If noncompliance with 92T.0305f fl or (g). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation
➢ -See the Division' � ® Yes ❑ No ❑NIA
s draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in designand
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 :02.00?
➢ This would includeYes ® [:] No N/A
❑ 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 Permittin Branch
.5. Does project comply with 1.5A NCAC 02T.0105(0(fi) (additional
permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications 1' '
p pp ons are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent errnits erosion and
sedimentation control plans, stormwater management Tans p p
g plans,
6. Does this project include any sewer collection lines that are deemed "hig h- riori ?"
p tY
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surf � g ace waters, i siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes 0 No
➢ If yes, include an attachment with details for each line, includinga aerial line size, type ( e, material, and location).
High priority lines shall be inspected by the permittee Or its representative at least '
p Once every six -months and.
inspections documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection '
Y permit.
FORM: S SEA 04-16
Page 5 of 6

1XI CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02'l', the Minimum Desi i niter a for the Permitting of Pump Stations
anal Force Mains (latest versk n*), 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. AlIgLoval of the re ue t is rec
juired orior to submittal of the Fast Track A► lication '
documents.
and su ortYn
2. Professional Engineer's Certification:
I, Joseph W. McKemey, P.E.
attest that this application for
(Professional Engineer's name from Application item Ill.1.)
Town of Teachey, 2017 Sanitary Sewer Improvements Bay Street
(Facility name from Application Item H.1.)
has been reviewed by me and is accurate, complete and consistent with the information s •
engineering ,calculations., and all. other supporting documentation lied m the, plans, specifications,
pp g n 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 this application package '
well as all applicable regulations and statutes. Althoughother ro PP P ge and its instructions, as
, p fessionals 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.
NUTS — In accordance with General Statutes 143.215.bA and 43a215.b8 an person w •
statement, representation, or certification in an application �" y r h� k�ewmY makes any false
Y• PP 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. d
.......:...
North Carolina Professional Engineer's seal signature,*a '�®
and date. �, '�+►
i *to *so r+ r�. ,/'
91.
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3. Applicant's Certification per 15A NCAC 02T .ol0d(b);
I, Lois McCartney, Mayor attest that this application for
(Signature Authority's name & title from. Application Item I.3.)
Town of Teachey, 2017 Sanitary Sewer Improvements - Bay Street
(Facility name from Application Item I1.1 .)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that an discharge o
wastewater from this non -discharge system to surface waters or the land will result ' Y g f
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. l also understand that if all required arts of this application
are not completed and that if all required supporting information and u P package
PP S attachments are not included, this application package
will be returned to me as incomplete.
NOTE - In accordance with .General Statutes 143-_2-15.6A and 143-215i6, an person who knowingly statement, representation, or certification in an lication acka e s y P g y makes any false
.Y apP p g hall 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.
FORM: SSEA 04-16
Page 6 of 6

State of North Carolina
Department of Environmental Quality
Division of water Resources
D1Yistan a Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-1 d)
Entity Requesting Allocation: Town of Teache
Project Name for which flow is being requested: 2017 Spiftary Sewer Improvements
More that one FM may be requi ed for a single project f the owner of the WWP is not .f p res onible ors all umP
stations along. the route o, f the proposed wastewater flow.
�
I. IBM
COmPlete this section only if you are the owner of the wastewater treatment plant,
a. WWTP Facility Name: Wallace Regional wastewater Treatment Plant
b. WWTP Facility Permit #: NCO003450
All, f l'o��s are in ��D
c. WWTP facility's permitted flow 5.420
d. Estimated obligated flow not yet tributary to the WWTP 0,048
e. WWTP facility's. actual avg. flow 1.318
f. Total flow for this specine request 0.005
g. Total actual and obligated flows to the facility 1.371
I Percent of pennitted flow used 25 %
H. 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 '�i'V�i�TP: p J F
(A)
(B)
(C)
(D)=(B`C)
(E)=(A-D)
Design
Obligated,
Pump
Average Daily
Approx.
Not yet
Total Current
Station
Finn
Flow**
Current Avg,
Ti ibuiaty
Flow PIus
(Name or
Capacity, *
(Firm 1 pfj,
Daily Flow,
Daily Flow,
Obligated
Available
Number)
MOD
MGD
MOD
MOD
Flow
capacity***
Teachey
=Q_.?___
.396
.099
.034
.005
.039
.06
Southpark
.207
.083
.0059
.005
.0109
0721 71
The Firm Capacity of any pump station is defined as the maximum flow that
pumped
can be achieved with the largest pump taken out of service.
' * Design Average Daily Flow is the firm capacity of the um station divided b a eaian
pump y P g
factor (PI) not: less than: 2.5.
*** ,A, Planning Assessment Addendum shall be attached for each um stations located
pump
between the project connection point and the where the Available Capacity is < 0.
Downstream Facility Name (Sewer): ,+
Downstream Permit Number
Page 1 of 6
FTSE 04-16

i
III. Certification Statement:
i
certifyto the best of m addition }� knowledge that, the adchtion 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 sanitaq sewer overflows or overburden an downstream um station
. , Y pump
on 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
pp Y
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 pally. Signature of this
form indicates acre tance of this. wastewater flow.
Signing Official Signaluic
Date
Page 2 of
FTSE 04-16