WQ0040458_Application (FTSE)_20181009

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T d1300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
DInISIon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: a b (to bccompletLd by Dwtt)
All items must be corn feted or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Town of Clayton (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: Adam Lindsay per 15A NCAC 02T .0106(b)
Title. Town Manager NC Dept of Environmental Quality
4. Applicant's mailing address: I I I E. Second Street
City: Clayton State: NC Zip: 27520- OCT 0 9 2018
5. Applicant's contact information:
Phone number: (2.L9) 553-5002 Email Address: crow] and(Otownofcla tonnc.or, weigh Regional Office
IL PROJECT INFORMATION:
1. Project name: Riverwood Athletic Club Alpine Valley Phase 6D-3
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: Johnston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.69795'
5. Parcel ID (if applicable): 176000-99.5363
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Donald C. Adams Jr. PE,
Firm: Adams & Hodge Engineering, PC Firm # C-4187
Mailing address: 314 East Main Street
City: Clayton State: NC Zip: 27520-
Longitude: •78.42932
License Number: 25469
Phone number: (2L9) 263.7278 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Little Creek WRF Permit Number 00-25453
Owner Name: Town of Clayton
V. RECEIVING DOWNSTREAM SEWER INFORMATION ordifferent Brent than WWTF):
1. Permit Number(s): W 0038740 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) of licable): WQCS0 0 /
Owner Name(s): Town of Clayton
I-ORM: FTA 04.16 Page I 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 Agreement {FORM: D4YJ been attached?
❑ Yes [:]No ©N/A
3. If the Applicant is a Fig nwIlroperty Owners' Assoc47tio1l, has an Opt ational.Ag Cement (FORM: HOA) been attached?
❑ Yes [:]No ®N/A
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic/Commercial , n Commercial
_ % Industrial (See 15A NCAC 02T .0103t2QD
f _b Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a now reduction been approved under 15A NCAC 02T .0114(f) ® Yes ❑ No
r- If esprovide a copy of flow reduction aporoval letter
7. Summarize wastewater generated by project:
Establishment Type (see 221.01140
Daily Design Flow
No. of Units
Flow
Single Family Homes
250 gal/day
18
4,500 GPD
gall
GPD
gal/
GPD
gall
GPD
gall
GPD
gal/
GPD
Total 7
4,500 GPD
a See 15A NCAC 0 T .01 14 b d), e I and fe ( for caveats to wastewater design flaw 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.
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0 1141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 4.500 GPD (per .15A NCAC 02T .01 14)
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
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Pa1;e 2 of 5

VI1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8" 866 PVC
t 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
I. 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
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)
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:
❑ 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):
r 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)):
I. Does the project comply with all separations found in 15A NCAC 02T,0305(fi & {el
> 15A NCAC 02T.0305(f) contains minimum se arations that shall be provided for sewers stems,
® Yes ❑ No
Setback Parameter*
Storm sewers and other utilities not listed below (vertical)
Separation Required
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 [I im ounded 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
Any building foundation
10 feet
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
15A NCAC 02T.0305 contains alternatives where separations in 02 0305 cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webnase
If noncompliance with 02T.0305(f) or (s). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No ❑ NIA
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
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 I5A NCAC 02B .0200? ® Yes ❑ No ❑ NIA
z 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 I A NCAC 02T.0105(cX6)(additional permits/certifications)? ® Yes ❑ No
Per I5A NCAC 02T.0I05(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.
❑ Yes ® No ❑ NIA
%- 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 ISA NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FCA 04- I6 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pum Ststionk.
and Force Mains latest version and the Gravi Sewer Minimum Design Criteria latest version as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC I0-14) and supporting documents for
review. Anaroval of the request is re aired Prior to submittal of the Fast Track ApBlication and supportinL2 documents.
2. Professional Engineer's Certification:
M
s name trom Application Item III. I.)
that this application for
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 1 have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly 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.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T-0106(b):
(Signature Authority's ame & title from Application Item 1.3.)
that this application for
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 143-2I5.6A 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. Date: ' 23 • 18
FORM: FTA 04-16
Page 5 of 5

5
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Divistun of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Town of Cla on
Project Name for which flow is being requested: RWAC Phase 6D3
Afore than one FTSE may be required for a single project if the owner of the PVWTP is not responsible jar 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: Little Creek WRF
b.
WWTP Facility Permit M 0025453
A11 flows are in MGD
c.
WWTP facility's permitted flow
2.5 + 1.3+ 1.0
d.
Estimated obligated flow not yet tributary to the WWTP
1.0413
e.
WWTP facility's actual avg. flow
2.5243
f.
Total flow for this specific request
0.0045
g.
Total actual and obligated flows to the facility
3.5701
h.
Percent of permitted flow used
74.38
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:
Pump
Station
Firm
(Name or
Capacity,
Number)
MGD
NRLS #1
1.0800
Clay -Rai
2.5056
(A)
(B)
(C)
Design
Obligated,
Average Daily
Approx_
Not Yet
Flow**
Current Avg.
Tributary
(Finn ;` po,
Daily Flow,
Daily Flow,
MGD
MGD
MGD
0.4320
0.I747
0.0358
1.0022
0.2057
0.1906
(D)-(B+C)
(E)=(A-D)
Total Current
Flow Plus
Obligated
Available
Flow
Capacity***
0.2105
0.22I5
0.3963
0.6059
* 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 (pi) 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): RWAC Alpine Valley 6A3
Downstream Permit Number: WQ0038740
Page 1 of 6
FTSE 04-16

"ECEIVED JUL 0 " 2001
State of North Carolina bJ 5
Department of Environment
and Natural Resources-�`-``` '-
Division of Water Quality 10A74,
Michael F. Easley, Governor NCDENR
William G. Ross Jr., Secretary
Kerr T. Stevens, Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 2, 2001
Mr. Steve Biggs, Town Manager
Town of Clayton
Post Office Box 879
Clayton, North Carolina 27520
Subject: Town of Clayton
Flow Reduction Approval
Johnston County
Dear Mr. Biggs:
On January 3, 2001, the Division of Water Quality received your flow reduction request for new
single-family dwellings in the Town of Clayton. The letter requests approval of a residential flow value of 250
GPDlresidence for any future dwellings that may become tributary to the subject wastewater collection system.
The Division also received additional information on April 3, 2001
The information provided flow records between January 1998 and November 2000 for the WWTP.
The evaluation also included the daily wastewater flows for a 33 day period from February 19 through March
23, 2001 for a select 97 homes in accordance with 15A NCAC 2H .0219(1)(3).
Based upon the information submitted, the Division hereby approves the use of 250 GPD per single-
family residence in all applicable non -discharge permit applications for future sewer line extensions for the
Town of Clayton. This consideration applies to any applicable future projects submitted to the Division as well
as any projects which are currently under review. Regardless of the adiusted design daily wastewater flow rate
at -no time shall the wastewater flows exceed the effluent limits defined in the Town's NPDBS permit for the
treatment facility or exceed the capacity of the sewers downstream of any new sewer extension
If you have any questions or comments regarding this matter, please contact Mr. Kim H. Colson at
[phone] ext. 540.
/Si a ely,
l
/Kerr T. Stevens
I<c: Raleigh Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax 9I9-7I5-6048
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

ZAa&:H1,ADAMS &HODGE
'ENGINEERINGs PC
WC Dept o fFnvironmental Quality
October 4, 2018
Ted Cashion OCT 0 9 201S
NC DWQ Raleigh Regional 0,MW
3800 Barrett Dr
Raleigh, North Carolina 27609
Subject: Riverwood Athletic Club - Alpine Valley Ph 613-3
Town of Clayton
Johnston County
Please find attached one original and one copy of the following:
1. Complete Fast Track Application for Gravity Sewers, Pump Stations, and Forcemains
(Form FTA 04-16), signed by Engineer & Town
2. $480.00 Check for Application Fee
3. Flow Tracking/Acceptance for Sewer Extension (Form FTSE 04-16)
4. A copy of Town of Clayton's "Flow Reduction Approval" letter
5. USGS Quad Map showing approximate site location
6. Street Level Map
Project Narrative:
This project includes +/- 866 if of new 8" gravity sewer to serve 18 residential lots in this Phase 6D-3.
Requested flow is 4,500 GPD. The project will flow to an existing public gravity system owned and
maintained by The Town of Clayton. The flow will end up at the Little Creek WRF permit # 00-25453.
If you have any questions or comments, please give me a call at 919-763-7278 or email to
[e-mail].
Sincerely,
o `CARoz J.''f'''%
_ SEAL G
Donnie Adams, PE
E F 25469
o �
A�.`� 10/04/18
,l1flINN,1�
ADAMS & HODGE ENGINEERING, PC 9 314 East Main Street, Clayton, NC 27520 • 919-369-1938 / 919-763-7278 • Firm # C-4187