WQ0038832_Application (FTSE)_20181129

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300— FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: W �{f 0 �r+ � - {to he completed by uwR)
All items must be completed or the nonlication will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Town of Seaboard (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ Slate/County ® Municipal
3. Signature authority's name: Geraldine Langford per 15A NCAC 02T .0106(b}
Title: Mayor
4. Applicant's mailing address: PO Box 327, 102 West Central Street
City: Seaboard State: NC "Lip: 27876-�
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
11. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
1. Project name: Seaboard 305 Sewer Project
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: Northampton
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.480125' Longitude:-77.437373'
5. Parcel ID (if applicable): 4959-97-5576
(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
1. Professional Engineer: Mark A Russell License Number: 022608
Firm: Mack Gay Associates P.A.
Mailing address: 1667 Thomas A. Betts Pkwy
City: Rocky Mount State: NC Zip: 27804-2265
Phone number: [phone] Email Address: mrussellnmackgavpa.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Town of Seaboard Wastewater Treatment Facility Permit Number: W00003299
Owner Name: Town of Seaboard
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Iteceiving) Sewer Size: _ inch
System Wide Collection System Permit Number(s) (if applicable): WQCS.
Owner Name(s):
FORM: FTA 04-16 Pagel of5

V[. Cl:i`fERaL REQUIREMENTS .
1. if the Applicant is a Privateiy-Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ©Nu ❑N,A
2. If the Applicant is a Developer of lots to be sold, has a Develoligr',.( ilx;i,u'.�,n:sl l paccipwii +;_i OR%I._DI V) been attached?
❑ Yes O\ia ❑Ai, A
3. If the Applicant is a I lome-11rol,erty 0%vn4ri' 1%1-oci.�tim, ha; an %1()1t11: I ]t if\] been attached:'
❑ Yes ❑Nu ❑ -4A
4. Origin of %kastewater: (check all that apply):
® Residential Owned ❑ Retail (store,. centers. rltalh,) ❑ Car Wash
® Residential Leased ❑ Retail with food preparation': crvice ❑ Hotel and -or Motels
❑ School ; preschool / day care ❑ Medical / dental e veterinary i'acilities ❑ Swimnlin�, Pool -Clubhouse
❑ food and drink: facilities ❑ Church j ❑ Swimming Pool Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature ofw astewater : 100 "a Domestic:Commercial 0 "'a Comtria:lal
0_°O Industrial (See I iA NCAC 021' A10-(20t)-
Is there a Pretreatment Program in 1.1cct" ❑ lr'cs © No
i
6. Has a f koti� reduction been approved under 15A NCAC 02T_.01 14 "t ^ ,] Yes 0 tin
D If yes, wovide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(1))
Daily Design Flow''h
No. of Units
Flow
Dwelling
360 gal/Dwelli.ng
8
2880 GPD
gall
I
GPD
gal/
GPD
gall I
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See 15A NCAC 02T .01 14(b). (d). (e)(1) and (e)(2) for caveats to iwastewater 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 ISA NCAC 02T .01 14(c), design Flow rates for establishments not identified [in table 15A NCAC 02'1'.01 14l shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: _ GPD (per 15A NCAC 02T .0114
D 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 5

VII. I GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1.1 Summarize gravity sewer to be permitted:
FSize (inches)
8
Length (feet)
1,150
Material
PVC
D Section 11 & III ofthe MDC for Permitting of Gravity Sewers contains information related to design criteria
Section III contains in formation related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
Vlll. 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: NC 305 Pump Station
2.1 Approximate Coordinates (Decimal Degrees): Latitude: 36.480125" Longitude:-77.437373'
3. Design flow of the pump station: .00288 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 25 gallons per minute at 35 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
2
0
C-900
U
cpsmm
- r
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
® Standby power source or pump with automatic activation and telemetry - 15A NCAG 02T .0305(h)(t)(B)_
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D 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.
: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
Does the project comply with all separations found in 15A NCAC 02T .0305 & ® Yes [:]No
➢ 15A NCAC 02"1'.0305{I} contains minimum se-prations that shall be provided for sewers stems;
_ Setback Parameter* Se aration Required
Storm sewers and other utilities not listed below (vertical) 24 inches
Water mains (vertical -water over sewer including in benched trenches) IS inches
Water mains (horizontal) _ -
IV 1C 4
Reclaimed water linesIvertical - reclaimed over sewer _ _ _
Reclaimed water lines (horizontal` reclaimed over sewer t
18 inches
2 feet
"Any private or public water supply source, including any wells, WS-I waters of Class l or.
Gass 11 impounded reservoirs used as.a source of drinking water _ _ —
100 feet
50 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
hi h water(or tide elevation) and wetlands (see item IX.2)
*'"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
!0 feet
Any building Fpund_ anon -
5 feet
10 feet
Any basement
Top slope of embankment or cuts of 2 feet or more vertical height
!0 feet
systems and interceptor drains
5 feet
_Drainage
Any swimming pools
10 feet
Final earth grade(vertical) r 36 inches
15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
*'"Stream classifications can be identified using the Division's NC Surft_e_c_Water ClasSilic tirniswebpagee
D If noncompliance with 02T.0305(ff)or see Section X of this application
2_ Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes [:)No
Z 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 all setbacks found in the river basin rules per I SA NCAC 02B .02007 ® Yes ❑ No
This would include Trout Buffered Streams per 15A NCAC 213_&202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes [:]No
D Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply "ith 15A NCAC 02T.0I05 c 6) (additional permitslcertitications)?
® Yes ❑ No
Per 15A NCAC 02T.0105(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, storntwater 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
t 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 15. A NCAC 02T, the Minimum Design Criteria for the Permitting of.11umV Ssarions
MUc irk{latest vgrsio), and the Grnvity SewgE 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. Approval of the request is required prior to submittal of the Fast Track Application and supportins
documents.
2. Professional Engineer's Certification:
I, MAM LL , . t • attest that this application for
(Professional Engincerl 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 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 dale: tH CARp�
o�E S /0 "
s
t
A R��
.................... ..._......._ _... _ .........
Applicant's Certification per 15A NCAC 02T .0106(b):
M
(Signature Authority's name & 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 143-2 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: r Date: — —15
FORM: FTA 04-16 Page 5 of 5

Robinson, Jason
From: Mike Tolson <[e-mail]>
Sent: Wednesday, February 13, 2019 829 AM
To: Robinson, Jason
Cc: Scott Bumgarner; Mark Russell
Subject: (External] WQ0038832 - NC 305 Revised Permit values
External emall_ Do not click links or open attachments unless you verify. Send'all suspiciods email as an'a(Wment to�=' t.
e CII L.Sp aMi� riL. puv
Jason,
Mark forwarded me the email regarding the edit that you wanted to make on the new application. As you may know,
Mark is still associated with MGA but has left the day to day operation of the company to Scott Bumgarner and
myself. Since Mark was the engineer that executed the original and revised permits, I appreciate you sedding this to him
as well.
Please feel free to edit the new application to show 1,220 LF of 2" FM and include this value in the revised permit to be
issued for this project.
Again, I appreciate you working with us on this issue and we will endeavor to avoid this issues in the future.
HI Mark,
We're just getting around to reviewing the application to modify the existing permit that was prompted by our review of
the submitted engineering certification (see my Oct 11" email below).
The new application does have the new, correct length of 8" gravity line (the original permit stated 2,500 LF, but the
record drawings showed 1,150 LF).

However the new application still includes the old length of 2" FM that was in the original permit (1,550 LF despite the
record drawings show only 1,220 LF of 2" FM installed.
With your permission, I will edit the new application to show 1,220 LF of 2" FM and include that in the revised permit
that we will issue.
Thanks,
Jason
Respectfully,
Michael D. Tolson, PE, PLS
Mack Gay Associates, P.A.
1667 Thomas A. Betts Pkwy
Rocky Mount, NC 27804
252.446.3017 (o)
252.343.6467 (m)
[e-mail]
www.mackgaypa.com

Robinson, Jason
From:
Robinson, Jason
Sent:
Tuesday, February 12, 2019 1:56 PM
To:
'Mark Russell'
Cc:
Cashion, Ted; Erin Deck ([e-mail])
Subject:
RE: Seaboard 305 Sewer Project - WQ0038832
HI Mark,
We're just getting around to reviewing the application to modify the existing permit that was prompted by our review of
the submitted engineering certification (see my Oct 11`h email below).
The new application does have the new, correct length of 8" gravity line (the original permit stated 2,500 LF, but the
record drawings showed 1,150 LF).
However, the new application still includes the old lenizth of 2" FM that was in the original permit (1,550 LF despite the
record drawings show only 1,220 LF of 2" FM installed.
With our permission, I will edit the new application to show 1220 LF of 2" FM and include that in the revised permit
that we will issue.
Thanks,
Jason
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
Division of Water Resources, DEQ
919-791-4200
"Subscribe to Collection System_& Sewer Permitting Updates—
E-maif correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
th,rd parties.
From: Robinson, Jason
Sent: Thursday, October 11, 2018 1:07 PM
To: 'Mark Russell' <[e-mail]>; '[e-mail]' <[e-mail]>
Cc: Cashion, Ted <[e-mail]>; McKinney, Thomas H <[e-mail]>
Subject: RE: Seaboard 305 Sewer Project - WQ0038832
Hi Mark,
I just called and left a message with you admin assistant.

Yes, we'll need an application for a modification. I checked with our collection system permit coordinator (in DWR
Central Office) and she instructed me to request the submission of a application for a modification (including fee). We'll
then have to redraft and reissue the modified permit.
-Jason
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
Division of Water Resources, DEQ
919-791-4200
E mail correspondence to and from this address may be subject to the North Carolono Public Records tavv and may be disclosed to
third parties.
From: Robinson, Jason
Sent: Thursday, October 11, 2018 10:40 AM
To:'Mark Russell' <[e-mail]>;'[e-mail]' <stownhall@mrhsi-com>
Cc: Cashion, Ted <ted.cashion ncdenr, ov>; McKinney, Thomas H <[e-mail]_v>
Subject: Seaboard 305 Sewer Project - WQ0038832
Mr. Hines & Mr. Russell,
We are reviewing the Engineering Certification for the referenced project that was received by this office on June 1,
2018.
The permit was issued for approximately 2,500 LF of 8-inch gravity line and approximately 1,550 LF of 2" Forcemain.
Based on the Profile in the as -bunts, it appears that only 1,150 LF of 8" gravity was installed, which is 54% less
than what was described in the permit (2,500 LF).
It appears that a "hidden manhole" was found, and therefore less forcemain was installed than originally
planned. It appears that approximately 1,220 LF of forcemain was installed, which is 21% less that what is
described in the permit (1,550.
If the numbers above are correct, then because the length of both the installed gravity line and the installed forcemain
are more than 10% different than the lengths described in the permit, a fast -track application requesting a permit
modification will need to be submitted and a new permit will need to be issued that reflects what was installed.
Also, the certification page that was submitted did not have the permitte's (Seaboard') agent's signature (Mr.
Hines). The permittee (Seaboard) should print and sign their name in the "Permittee's Certification" section (not the
engineer). The Engineer is to print and sign their name in the "Engineer's Certification" section.
Please let me know if you have any questions.
Thanks,
-Jason

Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
Division of Water Resources, DEQ
919-791-4200
E-mail correspondence to and front this address may be subject to the North Coroltno Public Records Low and may be disclosed to
third parties.