WQ0040837_Application (FTSE)_20190326

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 Rcsourres FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (Alq U 0 0 � � �_ (Io be compleled by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Johnston County (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: Chandra Farmer per 15A NCAC 02T .0106tb1
Title: Director of Johnston County Public Utilities
NC Dept ofErnvironnientttl clt1WR3
4. Applicant's mailing address: 309 E. Market Street
City: Smithfield State: NC Zip: 27577-�
��■■
MAR 2 6 2019
5. Applicant's contact information:
Phone number: [phone] Email Address: cliandra.farmerniohnsionnc.com
IWQ%h WeW Offiee
11. PROJECT INFORMATION:
L Project name: Steve Harp is Commercial
2. ApplicationlProject 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: Johnston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.3350° Longitude: - 87 23'22°
5. Parcel ID (if applicable): 168617-10-5763, 168617-204947
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Jerry Dalton License Number: I6282
Firm: Dalton Enaineeerine & Associates. P.A.
Mailing address: PO BQ8 426
City: Cla on State: NC Zip: 27528-
Phone number: 91 19) 550-4740 Email Address: jdalton „ daltonengineerin-t• cam
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Central Johnston County Rc ional WW Facility Permit Number: NPDES 0030716
Owner Name: Johnston County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ 199'? Girsberger Project Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Numbertsl t ifapplicable): WQCS00060
Owner Name(s): Johnston County
FORM: FTA 04-16 Page I 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 ®N;`A
2. If the Applicant is a Developer of lots to be sold, has a i?wveloper's Operationgl A{creement (FORM_ DI..V) been attached?
❑ Yes ❑No ®N?A
3. If the Applicant is a Home, Property Owners' Association. has an Orwrational Agreement (FORM: HOA) 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 andlor Motels
❑ School.-' preschool / day care ❑ Medical ;` dental ;' veterinary facilities ❑ Swimming Pool. -Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool;Tilter Backwash
® Businesses! offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic. -Commercial 100 % Commercial
_ % Industrial (Lee 15A NCAC 02T .0103{20f}
L __ lb is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .01 14(f)? ❑ Yes ❑ No
If yes, provide a cony of now reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.011 a(f)}
Daily Design Flow""
No. of Units
Flow
Office
25 gal/employee
5
125 GPD
Warehouse
100 gal/bay
8
800 GPD
gall
GPD
gal/
GPD
gall
GPD
gall
GPD
Total
925 GPD
L./
a See 15A NCAC 02T .01 14(b). id). (e)(1) 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 ISA_NCAC 02T.01 14] shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
Wastewater generated by project: 925 GPD (per 15A NCAC 02T .01 14)
Do not include future flows or previously permitted allocations �_,X
Ifpermitted 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

VI1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravi(y Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
343
SDR 26
8
692
C900
8
18
DIP
o5
Section 11 & 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)
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
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 15A NC AC 02T .0 305(h (1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(l)(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.
rORM: FTA 04-16 Page 3 of 5

_ 1X. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 1IA NCAC 02T,.0305(o & W,
i 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
® 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 II impounded reservoirs used as a source of drink in =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
AnX buildin 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 pools
10 feet
Final earth grade (vertical)
36 inches
i 15A NCAC 02T.0305 , contains alternatives where separations in 02T.0305(f) cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webpa�e
i If noncompliance with 02T.0305(f) 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
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 02B .0200? ® Yes ❑ No ❑ N A
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?
:- Information can be obtained from the 401 & Buffer Permitrim* Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional perm itslcertifications)? ® Yes ❑ No
Per 15A N! A 02T.0I05ji, 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 ) 5A 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 15A NCAC 02T.0403(a)(5) or the permitee's individual Syslem-Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

(
X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the PermittipV,of.Pump Stations
and Farce Mains (latest vk-.rsion), and the Gravitv Sewer MinimL3m 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 andsupporting
documents.
2. Professional Engineer's Certification:
1, - r-�EXX/_
s name from Application Item I11. I.)
attest 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 far 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 significs 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 date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
(Signature Authority's name & title from Application Item 1.3.)
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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 143-215.613, 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: Date: ad 1
FORM: rTA 04-16 Page 5 of

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 08-I3)
Project Applicant Name: Johnston Coun
Project Name for which flow is being requested: Steve Hargis Commercial
More than one FTSE may be required far a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wasteivater flo►v.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Central Johnston County WWTP
b. WWTP Facility Permit 4: NCO0307I6
AlI flows are in MGD
c. WWTP facility's permitted flow 9.5 MGD
d. Estimated obligated flow not yet tributary to the WWTP 2.072
e. WWTP facility's actual avg. flow 5.841
f. Total flow for this specific request 0.000925
g. Total actual and obligated flows to the facility 8.25435
h. Percent of permitted flow used 87%
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 Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
Girsberger 0.1152 0.0461 0.001764 0.000925 0.002689 0.04339
* 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.
Page 1 of 6
FTSE 08-13

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 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 OjJI-cial
Date
Page 2 of 6
FTSF OR -II

Dalton Engineering
and Associates, PA,
March 26, 2019
N.C.D.E.Q. FAST TRACK APPLICATION (FTA 04-16 )
Sub. Steve Hargis Commercial
Johnston County, North Carolina
Owner: Steve Hargis
1199 Crantock Road
Smithfield, North Carolina 27577
Steve Hargis is proposing to construct a building for commercial use, which is located in
Johnston County. The project site is adjacent to US Highway 70 Business West and is
located North of the intersection of US Highway 70 Business West and Little Creek
Church Road. The building is all new construction and would contain both office and
warehouse space. The proposed improvements associated with the commercial building
will consist of a paved access drive and parking area, a gravel parking area, a water system
extension and a gravity sanitary sewer system extension.
If there are any questions or comments, please do not hesitate to call.
Thank you.
4AV-- r , --
Jonathan B es
446 East Maln Street � RO. Box 426 � Clayton, NC 27528 — [phone]/Fax [phone]

Dalton Engineering
and Associates, P. A.
LETTER OF TRANSMITTAL
TO: NCDWR - Raleigh Regional Office ATTENTION:
DATE:
3/2212019
PLANS
SPECIFICATIONS
REVISED PLANS
PERMITS
Date Dwo #
NC Dept ofEnvironmental Quality
MAR 2 6 2019
Raleigh Regio,W Offue
Jason Robinson
REFERENCE: Steve Hargis Commercial
We are sending You -
X CHECK
COPY OF LETTER
X APPLICATIONS
X OTHER
2 ea. I I I Fast -Track Application Form, Cover Letter,
Acceptance Form, USGS Site Map
1 Application Fee: $480.00 (check # 3677 )
These are transmitted as checked below-
X For Approval Revisions As Requested
As Requested ~Return Corrected Copies
Review & Comment Make Corrections Needed
For Your Use Other
COMMENTS
THANK YOU
Jonathan B es
Dalton Engineering and Associates. P.A