WQ0040563_Application (FTSE)_20181203

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T.0300 T FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: {} (to be completed by DWR)
All items must be completed or the apRUcation will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of Wilson (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ PrivateIy-Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: R. Bryant Bunn, III, PE per 15A NCAC 02T.0106 b
Title: Public Works Director/City,En ineer
4. Applicant's mailing address: P. 0. Box 10 NC Dept of Environmental Quality
City: Wilson State: NC Zip: 27894-
5. Applicant's contact information: DEC — 2 2018
Phone number: [phone] Email Address: bbunnanwilsonnc.ore
� Raleigh Regional office
II. PROJECT INFORMATION:
1. Project name: Pine St., Broad St. & Kenan St. Sanitary Sewer Relocation
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: Wilson
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.7255' Longitude: -77.9151'
5. Parcel ID (if applicable): 3722-20-0777
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I . Professional Engineer: Robert S. Bartlett License Number: 020106
Firm: Bartlett Engineering and Surveying. PC,
Mailing address: 1906 Nash Street North
City: Wilson State: NC Zip: 27893-1726
Phone number. 282 399-0704 Email Address: robertbartietten .com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: City of Wilson Permit Number: NC 0023906
Owner Name: City of Wilson
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: 10 inch
System Wide Collection System Permit Numbers if.aptsltcak+3e1: WQCS00021
Owner Name(s): City of Wilson
FORM: FTA 04-16 Pagel of 5

VI. GENERAL. REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®NIA
2. If the Applicant is a Developer of lots to be sold, has a Develo er's O erational A vreement (FORM: DEV1 been attached?
❑ Yes [:]No ®N/A
3. If the Applicant is a lJomeiPr ert Owners' Associate n has an Operational Agreement 1FORM: HOA) been attached?
❑ Yes ❑No ®NIA
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 I day care ❑ Medical J dental I veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses! offices I factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial °o Commercial
_ % Industrial See 1 A NCAC 02T 01 1 200
'Is there a Pretreatment Program in effect? ❑ Yes ®No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(1)? ❑ Yes ®No
If ves, Provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see [121.0114 f
Daily Design Flow 0
No. of Units
Flow
General Business and Office Facility
25 gal/day
650
16,250 GPD
gall
GPD
gal/
GPD
gall
GPD
gal/
GPD
gal/
GPD
Total
16,250 GPD
a See 15A NCAC 2T .0 i 1.4(b), (d)f c D wW (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. 42A4).
b Per 15A NCAC 02T .0I I4(c), design flow rates for establishments not identified [in table I5A NCAC 02T.0I.14) shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 16.250 GPD (per 15A ICAC 021.Q4
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:
❑ RehabiIitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

U,-"
VIII.
GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MDC(Gravity Sewers):
Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 356 PVC
8 I00 DIP
Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
D Section III contains information related to minimum slopes for gravity sewer(s)
D Oversizing lines to meet minimum slope requirement Is not allowed and a violation of the MDC
PUMP STATION DESIGN CRITERIA (If Applicable) —_02T .0305 & MDC (Puma Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I . Pump station number or name: NIA
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
NIA NIA NIA
6. Power reliability in accordance with 15A NCAC 02T •0305{h1L1J:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(S)_
➢ 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
A305(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(1)):
1. Does the project comply with all separations found in 15A NCAC 02'1..0305(f) &
® Yes [--]No
➢ 15A NCAC 02T.0305(g contains alternatives where separations in 02T.0305(fcannot be achieved.
"Stream classifications can be identified using the Division's NC Surface Water Classifications wwebpaae
1f noncompliance with 02T.0305 or see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® N?A
D 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 jJA NCAC 02B .0200? []Yes ❑ No ®NSA
D This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
D Information can be obtained from the 401 & Buffer Pe itting_Branch
5. Does project comply with 15A Nf'AC 02T.0105(c)f 6) (additional permits/certifications)? ®Yes ❑ No
Per I. 5A NCAC 02T,0105(cl161, 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 15.A 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
➢ 1f 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 021; the Minimum Design Criteria for the Permitting of f ump Stations
and rversion}, and (latest versioand the Gravity Sewer Minimum Design Criteria .[latest versionas 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, g o e&�C.5. 074%.17�% attest that this application for
(Professional Engineer's name from Application Item III.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 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 CIass 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. AA
North Carolina Professional Engineer's seal, signature, and date: ` •.•.
\X
••Q�E� $$/oi
SEAL,
20106
0,,'•FyC1NF.E�`
S iiiatP4
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I> L WwL, Urtcur i wee -r attest that this application for
(Signature Authority's name & title from ApplicatioA Itedi I.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
Us 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 Iand 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 143-215-613, 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.
Signature: div-- `"' Date:
FORM: FTA 04-16 Page 5 of 5

ENGINEERING REPORT
SEWER SYSTEM RELOCATION
PINE ST, BROAD ST, & KENAN ST. UTILITY IMPROVEMENTS
CITY OF WILSON, NORTH CAROLINA
November 14, 2018
Wastewater Treatment Facility
Hominy Creek Water Reclamation Facility
NPDES Permit No. NCO023906
Applicant/Owner Name & Address
City of Wilson
Post Office Box 10
Wilson, North Carolina 27894-0010
Prolect Name & Location
Pine St., Broad ST. & Kenan St. Sanitary Sewer Relocation
City of Wilson
Wilson, North Carolina
Prolect Summary
The above referenced project is for the re -alignment and upgrading of an existing 6" DIP sewer
line running in the middle of a lot bounded by Kenan St., Pine St., Broad St. and Moss St. The
new alignment (8" PVC) will go around the site of a future building for 650 employees with an
estimated flow of 16,250 gpd,
The project will include the installation of approximately 356 linear feet of 8" PVC gravity
sewer, 100 linear feet of 8" DIP, (4) manholes and other necessary appurtenances. This sewer
re -alignment and extension will connect to an existing manhole approximately 287 ft. north of
the intersection of Pine St, and Kenan St. (35.7255, -77.9151).
P",. PRO)tCf F[i.FS'.Wilson 0tyU 8.31 S Broad St Militias App]icattoa'.PermittinS SanitarySm= FLc1o=ion1,Fngmeenag Report -Pint St, Broad St & Kwan ST tJti[ity Improvemcna doc

11

State of Norah Carolina
Department of Environmental Quality
Dw P
Division of Water Resources
Mvislarr of Water Resovrtes Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: City of Wilson, North Carolina
Project Name for which flow is being requested: Pine St.Broad St. & Kenan St. Relocation
More than one FTSE may be required for a single project ifthe 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: Hominy Creek Wastewater Management Facility
b. WWTP Facility Permit #: NC0023906
All f i'orps are in MGD
c. WWTP facility's permitted flow 14.0 MGD
d. Estimated obligated flow not yet tributary to the WWTP 0.975275 MGD
e. WWTP facility's actual avg. flow 8.77 MGD
f. Total flow for this specific request 0.01625 MGD
g. Total actual and obligated flows to the facility 9.745275 MGD
h. Percent of permitted flow used 69.61%
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)
(I))-(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***
* 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 < D.
Downstream Facility Name (Sewer): Horning Creek_WMF
Downstream Permit Number: NC0023906
Page l of 6
F FSE 04-16

III. Certification Statement:
I _RBryant. Bunn, III, 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 II plus all
attached planning assessment addendums for which I am the responsible party. Signature a of this
form indicates acceptance of this wastewater flow.
Page 2 of 6
FTSE 04-16

NC Dept of Environmental Quality
o17C -' 2018
EkAffLETT Raleigh Regional OfFIee
ENS & SURVEYING, PC
1906 Nash Street North Wilson, NC 27893 F-26
Phone [phone] Fax: [phone]
www bartiett us.com
November 28, 2018
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
Reference: Fast Track Application for Gravity Sewers
Pine St., Broad St., & Kenan St. Utility Improvements
Wilson, North Carolina
To Whom It May Concern:
Enclosed for your review and approval are two (2) copies of the following items related to the
above referenced project:
• Fast Track Application for Gravity Sewers
a Engineering Report
• Flow Tracking / Acceptance Form
• USGS Topographic Map
• $480.00 Application Fee
Should you have any questions or require further information during your review, please let us
know.
Respectfully,
R al G. ue tes,
Enclosures
P PROJECT FILES' Wilson CiW-18-315 Broad 51 Utititics Apptimion PcrmetinS1Sanitary Sewer RelocationAS-315 NCDEQ Sewer Permit Submittal.doe