WQ0039590_Application (FTSE)_20181031

DWR
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T.0300— FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 03-16 & SUPPORTING DOCUMENTATION
p c.�Lo QualUty
Application Number: �Id a I �� (to be completed by DWR)
- - ll items must be completed or the application will be returned OCTU3 12018
I. APPLICANT INFORMATION: Raleigh Regional Office
I. Applicant's name: Johnston County Public Utilities (company, municipality, HOA, utility, e1c.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ® State/County ❑ Municipal ❑ Other
3. Signature authority's name: Chandra C. Farmer PE per 15A NCAC 02T .0106 b
Title: Public Utility, Director
4. Applicant's mailing address: PO Box 2263
City: Smithfield State: NC Zip: 27577-
5. Applicant's contact information:
Phone number: (9I9) 989-5075 Email Address: chandra.farmer a.'ohnsionne.com
11. PROJECT INFORMATION:
1. Project name: McGee's Crossroads Sewer U *rade - Phase I and 2A
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Pmject
If modification, provide the existing permit number: WQ0039590 and issued date: November 2.2017
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. 35.54798 Longitude:-78.54074
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Andrew Hodge. PE License Number: 21094
Firm: Adams & Hodge Engineering. PC
Mailing address: 3I4 East Main Street
City: Clayton State: NC Zip: 27520-
Phone number: [phone] Email Address: and rewC-).adamsandhod ue.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Central Johnston County WWTP Permit Number: NCO030716
Owner Name: Johnston County Public Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ0020340 Downstream (Receiving) Sewer Size: — inch
System Wide Collection System Permit.NumberMsl (ifaaolie4blel: WQCS00060
Owner Name(s): Johnston County Public Utilities
FORM: FTA 04-16 Pagel of 5

V1. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ❑NJA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FOR-: DEVI been attached?
[--]Yes []No ❑N'A
3. If the Applicant is a Home,-Propurty Owners' Association, has an Operational Agreement {FORM:.}i0A} 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 I preschool / day care ❑ Medical I dental.' veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church
❑ Swimming Pool ?Filter Backwash
El Businesses! offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater : % DomesticlCommercial _/o Commercial
% Industrial (See I �A NCA_C OZT .0103(20))
bIs there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NC:AC 02T .0114(fi? [:]Yes ❑ No
If ves, Provide a cony of now reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.01140
Daily Design Flow °''
No. of Units
Flow
gaV
GPD
gal?
GPD
gall
GPD
gall
GPD
gall
GPD
gall
GPD
Total
0 GPD
a See I CAC 02 _0 114 b d c)(€ end {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 I SA NCAC 02T .01 14(c), design flow rates for establishments not identified [in table I SA 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: 0 GPD (per ,I SA'VCAC 02T..0.1.14)
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 Page 2 of
.�i

VI1. GRAVITY SEINER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
Section II & ill 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
Vll1. PUMP STATION DESIGN CRITERIA (If Applicable)— 02T .0305 & MDC(Pump Stations/Farce Mains :
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name: Middle Creek W WPS
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.54798 Longitude:-78.54074
3. Design flow of the pump station: I.80 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 1.250 gallons per minute at ?.55 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
8
21,800
SDR21
16
10,550
C905
6. Power reliability in accordance with I5A NCAC 02T _0305(h)( I1:
® 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):
:- 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

1\. SETBACKS & SEPARATIONS— (02B .0200 & 15A NCAC 02T.0305(1)):
I. Does the project comply with all separations found in 15A NCAC 02T.030 i & ® Yes [:]No
i 15A NCAC 02T.0305(f) contains minimum separations that shall he nmvidf-.d rhr -,P%w-r cvcrPmc-
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-1 waters of Class I or
Class 11 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
I0 feet
Any building foundation
5 feet
AnX 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)
__:::d
36 inches
i 15A NCAC M,030N2 contains alternatives where separations in 02T.0305(f) cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface W_wcr Classifications.webuage
S I f noncompliance with 02 I.0305(1) or (gl, 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
r 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 ,UA NCA_ 4B _0200? ® Yes ❑ No ❑ NrA
> This would include Trout Buffered Streams per [;A NCAC 2B.0202
4. Does the project require coverage.-buthorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
Information can be obtained from the 401 & Suffer Permitting Branch
5. Does project comply with 15A NCA(' 02T.0I05{c]L6) (additional permi ts.:certi fi cations)? ® Yes [--]No
Per 1-5A NCAC 02T.0105(c)f6l, 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
Ifyes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permitteeor 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. CERTIFICATION&
I. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Pennittin of f Pump Stations
and Force Mains (latest version), and the GravitySewer Minimum Desian Criteria latest version as applicable?
® Yes ❑ No
IfNo, complete and submit the Varioncc/Ahernative Design Request application (VADC 10-14) and supportingdocuments for
review. Appmal of the reguest is required prior to submittal of the Fast Track Annilcallon and supporting documents.
2. Professional Engineer's Certification:
1, Andrew _Hodge, PE 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 infonnation 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 Pennitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions ofthis
submittal package, inclusion of these materials under my signature and sea] signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE - In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of 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:
U
3. Applicant's Certification per 15A NCAC 02T .0I06(b):
Chandra C. Farmer, PE - Director of Utilities _attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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 ifall 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 143-2 f 5.6A 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 ntay
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: ..... ti � Date:
FORM: FTA 04-16 Page 5 of 5

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State of North Carolina
R
Department of Environmental Quality
Division of Water Resources
01vislon of Water tt4,.crlorc{ Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Johnston County
Project Name for which flow is being requested: McGee's Sewer Upgrade - Pennit Rev.
More than one FTSE may be required for• a single project if the owner of the WWTP is trot 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: Central Johnston County Regional Wastewater Facility
b. WWTP Facility Permit #: NPDES NC 0030716
All flows are in MGD
c. WWTP facility's permitted flow 9.5 MGD
d. Estimated obligated flow not yet tributary to the WWTP 2.3168+0.34 Clayton Pur
e. WWTP facility's actual avg. flow 5.402
f. TotaI flow for this specific request 0.00
g. Total actual and obligated flows to the facility 8.0588
h. Percent of permitted flow used 84.8%
11. 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)
Design
Pump
Average Daily
Station
Firm
Flow**
(Name or
Capacity, *
(Firm / po,
Number)
MGD
MGD
Landfill
L9296
1.6718
(B)
(C)
(D)=(B*C)
(C)=(A-D)
Obligated,
Approx.
Not Yet
Total Current
Current Avg.
Tributary
FIow Plus
Daily Flow,
Daily Flow,
Obligated
Available
MGD
MGD
Flow
Capacity***
0.6718
0.06951
1.3669
0.3049
* 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 pealing
factor (po 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 < d.
Downstream Facility Name (Sewer): _ Landfill Equalization & Pumping
Downstream Permit Number: WQ0020340
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I Chandra C. Farmer, P.E. 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 11 plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
Signing Official Signalw a Date
Page 2 of 6
FTSE Q4-16

ADAMS S. HODGE
ENGINEERINGs PC
NC Dept of Environmental Quality
October 30, 2018 ( jCT 3 t 291$
TNC ed
Dashion Raleigh Regional Office
Q
3800 Barrett Dr
Raleigh, North Carolina 27609
Subject: McGee's Crossroads Sewer Upgrade — Phase i & 2A
MODIFIED APPLICATION — WQ0039590
Johnston County
Please find attached one original and one copy of the following:
1. Complete Modified Fast Track Application for Gravity Sewers, Pump Stations, and
Forcemains (Form FTA 04-16), signed by Engineer & County
2. $480.00 Check for Application Fee
3. Updated - Flow Tracking/Acceptance for Sewer Extension (Form FTSE 04-16)
4. USGS Quad Map showing approximate site location
5. Street Level Map
Proiect Narrative:
This application is to modify the existing permit # WQ0039590. The reason for this modification is to
increase the pump size from 1,000gpm at 286 ft of TDH to 1,250gpm at 255 ft of TDH.
If you have any questions or comments, please give me a call at 919-763-7278 or email to
[e-mail].
Sincerely, ,A W11rCARol
u
SEAL
Donnie Adams, PE 25469
s
'f f,�� rC l
ADAMS & HODGE ENGINEERING, PC . 314 East Main Street, Clayton, NC 27520 • 919-369-1938 / 919-763.7278 • Firm 4 C-4187

Robinson, Jason
From: Fertenbaugh, Christyn L
Sent: Thursday, September 20, 2018 11:09 AM
To: Robinson, Jason; Cashion, Ted
Subject: FW: [External] well abandonment
Hello,
Wanted to give you a heads up about a project that is likely to come through the RRO -- the project is for McGee's
Crossroads in Johnston County, and the engineering firm is Adams & Hodge. In order to install the force main as
proposed, they will need to abandon a well along the way since they cannot get the force main outside of the 25-foot
radius. A special condition will need to be inserted into the permit stating that all force mains 1-ncroaching on the 100-
fo_ot radius- of wells shall utilize the piping materials, testinmethods, and acceptability standards meeting water main
standard The condition should also state that the well in question (screenshot below) must be abandone
ocumentation of abandonment submitted with the certification (and we should put that under the permit event as well
so it gets caught at ce rt if ication . A nan i n t ave e a dress, but the parcel number is in the image below and the
engineer might be able to provide the address for that lot as part of the permit )7"t
process.
Good luck with all the hurricane recovery efforts! rl
Christyn L. Fertenbaugh, P.E.
Environmental Engineer
PERCS Unit
Division of Water Resources
Department of Environmental Quality
Please note that my phone number has changed to 919-707-3625.
919-707-3625 —Office
919-807-6489 — Fax
Christ n.fertenbau h ncdenr. ov
Mailing: 1617 Mail Service Center
Raleigh, NC 27699-1617
Physical: 512 N. Salisbury Street, Rm. 9255
Raleigh, NC 27604-1170
01-
Nothing Compares .rt.
Email correspondence to and from this address is subject to the
North Carolina Public Records Low and may be disclosed to third parties.
From: Adrian <[e-mail]>
Sent: Wednesday, September 19, 201810:29 AM
To: Eaton, Adrian <adrian.eaton@ncdenr.g_ov>
Subject: [External]

Cashion, Ted
From: Andrew Hodge <[e-mail]>
Sent: Wednesday, December 19, 2018 1:31 PM
To: Cashion, Ted
Cc: Robinson, Jason; Chandra Farmer([e-mail]); Kim Rineer
Subject: [External] RE: McGee's crossroads sewer upgrade - Phase 1 and 2A application
Attachments: Byrd Well Closure Agreement.pdf
Hey Ted,
Please find attached the "well closure agreement"
The address is:
5293 Raleigh Rd, Benson, NC 27504
Let me know if there is anything else you need from me.
Merry Christmas!
Thanks!
Andrew Hodge, PE
Adams & Hodge Engineering, PC
314 E. Main Street
CIayton, NC 27520
(M) 919-369-1938
Firm # C-4187
As,AE N G I N E E R I N C3
d3�1��� 6. FIODOE
From: Cashion, Ted <[e-mail]>
Sent: Wednesday, December 19, 201812:24 PM
To: Andrew Hodge <[e-mail]>
Cc: Robinson, Jason <[e-mail]>; Chandra Farmer ([e-mail])
<[e-mail]>
Subject: McGee's crossroads sewer upgrade - Phase 1 and 2A application
Hi Andrew,
We are drafting the subject permit and need to know the address of the well that will be abandoned in the
project. Thank you.
We'll include a special condition in the permit that force mains encroaching on the 100-foot radius of wells shall utilize
the piping materials, testing methods, and acceptability standards meeting water main standards. Also we'll include the
well in question must be abandoned with the documentation of abandonment submitted with the engineering
certification.