WQ0039572_Application (FTSE)_20190312

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dlvlsion of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
V40
Application Number: D 51 (to be completed by DWR)
All items must bg completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: TOWN OF SILER CITY (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: per I NCAC 02T .01DGfb1
Title: BRYAN THOMPSON- TOWN MANAGER
4. Applicant's mailing address: PO BOX 769
City: SILER CITY State: NC Zip: 27344- -
5. Applicant's contact information: p�
Phone number: (LID 742-4 311 Email Address: bth_ ompson _ 1ilerciV.org, 1 ! aY 4
1 cm 0
11. PROJECT INFORMATION: P�✓e �'`' c ,o
1. Project name: MOUNTAIRE FARMS OF NC 4JQ_
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project c L
If a modification, provide the existing permit number: WQ003= and issued date: OCTOBER 27. 2017
If new construction but part of a master plan, provide the existing permit number: WQ00 . U
z
3. County where project is located: CHATHAM
4. Approximate Coordinates (Decimal Degrees): Latitude: 35 1855' Longitude:-79.4501.5
5. Parcel ID (if applicable): 52356
(or Parcel ID to closest downstream sewer)
I11. CONSULTANT INFORMATION:
I. Professional Engineer: NEAL SMITH License Number: 19311
Firm: NEAL SMITH ENGINEERING. INC.
Mailing address: I39 PINEHURST AVE. SUITE C
City: SOUTHERN PINES State: IC Zip: 28387-
Phone number: (WO ¢25-8825 Email Address: nsmithCalnsengineering.com ,",% {
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: Al p a a V2—
4 f 1. Facility Name: _ TOWN OF SILER CITY WWTF Permit Number:
Owner Name: SILER CITY
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
�=v o-'" �)1. Permit Number(s): WQ 6_31 � �' Downstream (Receiving) Sewer Size: $T
h
it _,� _
^ {�Systeen Wide Ca S ystem Permit i'+]urnhc s if app Iicab le : WQCS 0
Owner Name(s): TOWN OF SILER CITY
FORM: FTA 04-16 Page] 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 Developer's opuntiflnal Agreement (I:ORM- DEiV1 been attached?
[:]Yes [:]No ®N/A
3. If the Applicant is a liome�Petrpg Owner ',Association, has an Operational Ag�ccrncnt f I;ORM 1 I {OA1 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 / preschooI / 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 % Commercial
% Industrial (See 15A NCAC 07.T�0103L0})
�Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114tt]? ❑ Yes ®No
➢ If yes, provide a co of flaw redaction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0I 14(W
Daily Design Flow'.b
No. of Units
Flow
gall
GPD
gall
GPD
gah
GPD
gal/
GPD
gau
GPD
gaff
GPD
Total
GPD
a See IiA NCAC 02T _01 1 I and 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 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T,01 141 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.1.5A NCAC 02T ,0114)
➢ 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

V1I. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 514 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)
➢ 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 (Puma Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. 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 [ 5A NQAC 02T _0305 ]f 1)[ ] 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):
➢ 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

IX. SETBACKS & SEPARATIONS — (02B .0200 & I5A NCAC 02T .0305(Q):
1. Does the project comply with all separations found in 15A NCAC 02T ,0305[t7 & (g)
➢ 15A NCAC 02T.0305contains minimum se arations that shall be orovided for sewers stems:
® Yes ❑ No
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 Il 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 slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming ools
10 feet
Final earth grade vertical
36 inches
➢ I5A NCAC 02T.om5W contains alternatives where separations in 02T:9305{13 cannot be achieved.
D "Stream classifications can be identified using the Division's NC 5urfaL:e Water Classifications webpaM
D If noncompliance with 021'.0305(1) a r {g,l. 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
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC G2D _02Q0? ❑ Yes ❑ No ® NIA
➢ 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 &. B u ffe r P erm itti n g 13 ranch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A 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 l5A 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
➢ 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 I5A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X CERTIFICATIONS:
DM the submitted system comply with I5A NCAC 02T the RMHOM141P Qui n C it 'a for t ' '»9f i' S ations
and Forg A+ ainsl �t_ 4rrsjnnl. and the Gravity Sewer �MinImum Qesien Criterin Oatesl version) ass applicable?
® Yes ❑ No
If No, complete and submit the Varience/Alternative Design Request applk&iim (VADC 10.14) and supporting documents for
review. A oroyal of the rennett in rmnirr�A net... ..ra_ e_—
2. Professional Engineer's Certification:
OF
name from Application Item Ill.1.)
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 seat signifies that l have reviewed this matetiaand
have judged it to be consistent with the proposed design.
NOTE — In accotdance with General statutes 143-215.6A and 143-215.60, any person who knowingly makes any false
statement, representation, or certification in any application package sball be Sulky 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. A# ,
North Carolina Professional Engineoes seal, signature, sad date:
3. Applicant's Certification per 1SA NCAC 02T A106(b):
Wi- r u r Lqru 7 attest that this application for
name m 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 part% of
this application arc not completed and that if all required supporting documentation and attachments are not Included, this
application package is subject to being retuned as Incomplete. 1 understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an hnmedh to 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 we 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 JALZI S 6A and 1 �t3_? l S 8, any person who knowingly makes any false
statement, representation, or certification in any application packer shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed SI0,000 as well as civil penakies up to S2S,000 per vioMtion.
sign al-= a Date: _3L#-
2611
FORM: FTA 04-16 Page 5 ors

February 21, 2019
NCDEQ
Division of Water Resources
3800 Barrett Dr.
Raleigh, NC 27609
Re: Mountaire Farms of NC
1101 East Third Street
Siler City, NC 27344
NSE Job No. 1630101
Below is the initial cover letter request for this project.
NC Dept Of Environmental
Quality
MAR 12 2019
Raleigh Regional Office
"The final design is not an extension of services. The sewer main currently runs through
the middle of a parcel and this project will re-route the sewer main to the outer edge of the
parcel. The project will extend an 8" sewer line through 3 proposed manholes and tie into
a new gravity sewer main. The extension will also re-route an existing 8" sewer main to a
new manhole. There will be 517LF of 8" ductile iron and 195LF of 8" SDR-35 sewer main.
All portions of the sewer extension that are outside existing rights of way shall have a
minimum required easement centered on the new sewer main. The following is a list of
items included in this submittal:
Cover Letter
Fast Track Sewer System Extension Application (FTA 04-16)
Application Fee ($480.00)
Site Map
Quad Map"
We would like to request a modification of the permit WQ0039572 to reflect the correct
length of 5141fductile iron sewer main.
Modification List:
Remove the 1951f of 8" SDR-35 sewer main.
Revise length of 8" D.I.F. sewer main from 5171f to 5141E
Neal Smith Engineering, hie. - Southern Pines, NC

Robinson, Jason
From: Robinson, Jason
Sent: Wednesday, March 06, 2019 4:26 PM
To: 'Bryan Welborn'
Cc: Cashion, Ted
Subject: RE: [External] Mountaire Farms of NC-Siler City Processing Plant
Thanks Bryan. ------------
Jason T. Robinson, P.E. (Aa 4 IF
Raleigh Regional Office
Water Quality Regional Operations
Division of Water Resources, DEQ
919-791-4200
"Subscribe to Collection System & Sewer Permitting dates"
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Bryan Welborn <bwelborn @nsengineering.com>
Sent: Wednesday, March 06, 2019 2:20 PM
To: Robinson, Jason <[e-mail]>
Subject: [External] Mountalre Farms of NC-Siler City Processing Plant
s or open attachments unless you verify. Send all suspicious email as an attachment to
Mr. Robinson,
We have revised the application and provided it to the Town of Siler City for signature. We have contacted them via
email and voicemail. We will do everything we can to get that to you this week.
Thank you,
Bryan C Welborn
Neal Smith Engineering, Inc.
139 Pinehurst Avenue, Suite C
Southern Pines, NC 28387
(Office) 910-695-8825 x-305
(Fax) 910-695-8832
(Mobile) 910-638-2093

Robinson, Jason
From: Robinson, Jason
Sent: Thursday, February 07. 20191:16 PM
To: Bryan Thompson; '[e-mail]'
Cc: Cashion, Ted
Subject: Mountaire Farms of NC-Siler City Processing Plant
I am writing in regards to the sewer extension permit that was issued for the referenced project (WQ0039572).
We received the Engineering Certification and Construction Drawings for this project on December 27, 2019.
The permit was issued for 712 LF of 8" gravity line. However, the construction drawings only show 514 feet.
If only 514 feet were installed, we'll need a FTSE application (with fee) requesting a mod, and we'll issue a modified
permit with the correct length of line.
-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 U dates—
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and maybe disclosed to
third parties.

Water Resources
ENVIRONMRITAL QUA -'TV
October 27, 2017
Bryan Thompson, Town Manager
Town of Siler City
P.O. Box 769
Siler City, NC 27344
Subject: Permit No. WQ0039572
Town of Siler City
Mountaire Farms of NC — Siler City Processing Plant
Wastewater Collection System Extension Permit
Chatham County
Dear Mr. Thompson:
I r+�• rruin
NIICIIAEL S. RLGAN
s-t-n• n
S. JAY %ii%'IL%I :RfVlAN
NCDept of Environmental Quality
DEC 2 7 2018
Raleigh Regional Office
Tpfr'�t c I r
In accordance with your application received September 19, 2017, and additional information received
on October 26, 2017, we are forwarding herewith Permit No. WQ0039572 dated October 27, 2017, to the
Town of Siler City (Permittee) for the construction and operation upon certification of the subject
wastewater collection system extension. This permit shall be effective from the date of issuance until
rescinded and shall be subject to the conditions and limitations as specified therein. This cover letter shall
be considered a part of this permit and is therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a permit modification request for a
name change must first be approved by this office.
Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be the responsibility of the Permittee to ensure that the as -constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to
the licensing board.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
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