WQ0040460_Application (FTSE)_20181009

1A&H1 ADAMS & HODGE
ENGINEERING, PC
October 8, 2018
Ted Cashion
NC DWQ
3800 Barrett Dr
Raleigh, North Carolina 27609
Subject: Lionsgate Phases 6A & 6B
Town of Clayton
Johnston County
Please find attached one original and one copy of the following:
NC Dept of Environment" Quality
OCT 052018
Raleigh Regional Offlee
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. USGS Quad Map showing approximate site location
5. Street Level Map
Project Narrative:
Lionsgate Phases 6A & 6B includes 37 new residential lots and +/-1,060lf of new 8" gravity sewer.
Requested flow is 9,250 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
donnie'&'adamsandhod ,eL Com .
Sincerely, ``�����titl1+111#ill"
CARol
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_ SEAL c
Donnie Adams, PE 3 25469
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ADAMS & HODGE ENGINEERING, PC 9 314 East Main Street, Clayton, NC 27520 9 919-369-1938 / 919-763-7278 • Firm ## C-4187

State of North Carolina
DWR
Department of Environmental Quality
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:vi v (l 00`"W U ()(to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Town ofCla on (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual
❑ Corporation ❑General Partnership
❑ Federal ❑ StatelCounty ® Municipal
3. Signature authority's name: Adam Lindsay per 15A.NCAC 02T.0 I 06(b
Title: Town Manager
4. AppIicant's mailing address: I I I E. Second Street
City: Clayton State: NC Zip: 27520-
5. Applicant's contact information:
Phone number:9( i 9� 553-5002 Email Address: crowland@.townofcla5lonnc.org
11. PROJECT INFORMATION:
I. Project name: LionsGate Phase 6A-613
2. Application -Project status: ® Proposed (New Permit)
If modification, provide the existing permit number: WQ00
❑ Privately -Owned Public Utility
❑ Other
NC Dept of Environmental Quality
OCT 0 9 2018
Raleigh Regional Office r
AJ D
❑ Existing Permit/Project
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: 35.65147 Longitude: -78.48251
5. Parcel ID (if applicable): 05G02010B
(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
I. Professional Engineer: Andrew Hodge, PE License Number: 21094
Firm: Adams & Hodge Engineering, PC Firm 9 C4187
Mailing address: 314 East Main Street
City: Cla on State: NC Zip: 27520
Phone number: 919 369-1938 Email Address: and rew .adamsandhod e.com
IV. WASTEWATER TREATMENT FACILITY(WWTF) INFORMATION:
I. Facility Name: Little Creek WRF Permit Number: 00-25453
Owner Name: Town of Clayton
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQy Downstream (Receiving) Sewer Size: 8 inch
$ystem Wide. Collection System Permit Number{s} {if applicable): WQCS t; Q t 1 a
Owner Name(s): Town of Clayton
FORM: FTA 04-16 Page I of

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 EDN. -'A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DSV) been attached?
❑ Yes ❑No ®N'A
3. If the Applicant is a Home±rPr.operly Owners' Association, has an Operational A-reerregt (FORM: HOA) been attached?
[—]Yes ❑No [DN. -'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 I dental i veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink Facilities ❑ Church ❑ Swimming PoollFilter Backwash
❑ Businesses/ offices 1 factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic?Commercial % Commercial
_ % Industrial (See 15A —AC 02T .0103(20 )
'Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa Flow reduction been approved under 15A NCAC 02T.01 14(t)? ®Yes []No
r If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114( Q
Single Family Homes
Daily Design Flow;'," INo. of Units Flow
250 gal/day
37
9,250 GPD
gall
GPD
gall
GPD
gall
GPD
gall
GPD
gall
GPD
Total
9,250 GPD
a See 15A NCAC. 02T .01144 bgrid fak2) 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. 42A4).
b Per 15A NCAC 02T.01 14(c), design flow rates for establishments not identified [in table 15A'NCAC 02T.01 14J shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 9.250 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
❑ How has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of5

W"
Vlll.
GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
I.
2.
3.
4.
5.
Size (inches) Length (feet) Material
8" 1,060 PVC
a06
%- 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)
Oversixing lines to meet minimum slope requirement is not allowed and a violation of the MDC
PUMP STATION DESIGN CRITERIA (If Applicable) — 02T.0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
Pump station number or name:
Approximate Coordinates (Decimal Degrees): Latitude: ° Longitude: - _
Design flow of the pump station: millions gallons per day (firm capacity)
Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
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)(I }:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(8):
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):
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 15ANCAC 02T .0305(1) & (g)
15A NCAC 02T.0305 contains minimum se arations that shall be rovided for sewers t
® Yes ❑ No
Setback Parameter*
Y. ems.
Separation Re aired
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 -1 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 slo a 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.03. 05(g contains alternatives where separations in 021'.0305tt1 cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Wat{r_ Classifications web�aee
If noncompliance with 02T.0305(0ore see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes [:]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 I5A.N_ CAC 02B.0200? ® Yes ❑ No ❑ N: -A
This would include Trout Buffered Streams per 15A NCAC 20202
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 Permittine Branch
5. Does project comply with 15A NCAC _02T.0105 c 6) (additional Perm its:certifications)? ® Yes ❑ No
Per 15A NUAC 02T,0105(c)r61, 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 ❑ N:A
i 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:
I. Does the submitted system comply with ISA NCAf 021, the Minimum Design Criteria fb the_Permitting of]'umtr Station;
and l,orce Mains [latest version), and the Gravity Sewer Minimum Desicn 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 nrior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
I, . Andrew Hodge_ _attest that this application for
(Professional Engineer'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 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 I43 -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 vinintinn
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's
per ISA NCAC 02T .0106(b):
. / _ 17 -10
(Signature Authority's
trom Application Item 1.3.)
attest 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 143-215.6A and 143-215.68, 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: lU • �• /B
FORM: FTA 04-I6 Page 5 of 5

State of North Carolina
Department of Environmental Quality ,;W2�R
Division of Water Resources
Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Town ofClayton
Project Name for which flow is being requested: Lions ate Phases 6A & 6B
More than one FTSE maybe required for a single project if the owner of the WWTP is not responsible far all pump
stations along the route of the proposed waste►vaterflom
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 #: 0025453
A11 flows are in MGD
c. WWTP facility's permitted flow LCWRF 2.5 + JoCo 1.34 +
Raleigh 1.0
d. Estimated obligated flow not yet tributary to the WWTP 1.1056
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
2.5203
0.0093
3.6352
75.11%
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 FIow,
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): Lions ate 1 A and 1 B
Downstream Permit Number: WQ0037837
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I Adam Lindsay 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 l 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.
Signing Of cigf Signature
RMZ
Date
Page 2 of 6
FTSE 04-16

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Kerr T. Stevens, Director
July 2, 2001
Mr. Steve Biggs, Town Manager
Town of Clayton
Post Office Box 879
Clayton, North Carolina 27520
... u JUL v [Jul
`} S tU1l�
Tom,
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
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
GPD/residence 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. Re less of the ad'usted design daily wastewater flow rate
at no time shall the wastewater flows exceed the effluent limits defined in the Town's DES ermit for the
treatment facility_or exceed the capachof .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,
111
'Kerr T. Stevens
cc: Raleigh Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

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