WQ0040886_Application (FTSE)_20190409

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
I5A NCAC 02T .0300 -� SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources SSEA 04-16 & SUPPORTING DOCUMENTATION
Application Number: i a Ito be completed 6y flWR)
1. APPLICANT INFORMATION:
I. Applicant's name: Town of Enfield. NC
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ® Municipal ❑ County
3. Signature authority's name: Wayne Anderson per I5A NCAC 02T .0106(b)
Title: Mayor NC Dept of Environmental Quality
4. Applicant's mailing address: P.O. Box 699
City: Enfield State: NC Zip: 27823-0699 APR - 9 2019
5. Applicant's contact information:
Phone number: 252 445-3146 Email Address: mayorandersoneenfieldnc.org Neigh Regional Office
11. PROJECT INFORMATION:
1. Project name: Wildwood-Canal Sewer Extension
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
3. If a modification, provide the existing permit number: WQ00 and issued date:
4. If new construction but part of a master plan, provide the existing permit number: WQ00
5. County where project is located: Halifax
6. Approximate Coordinates (Decimal Degrees): Latitude: 36.1775t. Longitude:-77.6847o
III. CONSULTANT INFORMATION:
I. Professional Engineer: Todd S. Steele License Number: NC 24406
Firm: Engineering Services PA
Mailing address: P.O. Box 1849
City: Garner State: NC Zip: 27529-1849
Phone number: (2.L9) 662-7272 Email Address: tssteele 1bellsouth.net
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Enfield W WTP Permit Number: NCO025402
Owner Name: Town of Enfield. NC
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
I. Permit Number(s): WOCS00181
System Wide Collection System Permit Number(s): WQCS00181
OwnerName(s): Town of Enfield, NC
FORM: SSEA 04-16 Page 1 of 6

VI.
GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been submitted?
❑ Yes ❑No ®N A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Argement (FORM: DEV) been submitted?
❑ Yes ❑No ®N-A
3. If the Applicant is a Home.Troperty Owners' Association, has an Operational Agreement (FORM: HOA been submitted?
[]Yes [--]No ON -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 'preschool 1 day care ❑ Medical ; dental ! veterinary facilities ❑ Swimming Pool 'Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool. -Filter Backwash
❑ Businesses: offices l factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Is/was an Environmental Assessment required under ISA NCAC OIC? ❑ Yes ® No
If yes, submit the appropriate final environmental document (FONSI, ROD, etc.)
6. Nature of wastewater : 100 % Domestic,'Commercial °}o Other waste specify:
% Industrial (See 15A NCAC 02T .0103(2D}
7. Wastewater generated by project: 9,720 GPD (per.15A NCAC 02T .0114)
Has a flow reduction been approved under 15A NCAC 02T .0114(t) ❑ Yes ® No
If yes, provide a copy of flow reduction approval letter
8. Summarize wastewater generated by project:
Establishment Type
Daily Design Flow `'e
No. of units
Flow
Single Family Residence, 3 Bedroom
360 gal/day
27
9,720 GPD
gal/
gal/
gal/
gal/
GPD
GPD
GPD
GPD
gal/
GPD
Tolal
9,720 GPD
a See 15A NCAC 02T .01 14(b), fd1. e% I] arrd (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 .0114(c), design flow rates for establishments not identified below shall be determined using
available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
FORM: SSEA 04-16 Page 2 of 6

VII. GRAVITY SEWER DESIGN CRITERIA - 15A NCAC 02T .0305:
1. Summarize Gravity Sewer to be permitted:
Size (inches) Length (feet) Material
8 2,610 PVC
VIII. PUMP STATION DESIGN CRITERIA -- 02T .0305 & MDC_(Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: N A
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -� "
3. What is the nearest 100-year flood elevation to the facility? feet mean sea level. Source:
Is any of the proposed project located within the 100-year flood plain? ❑ Yes ❑ No
4. If Yes, are the following items provided per 15A NCAC 02T .0305(e):
Water -tight seals on all station hatches and manholes; and
Control panels vents extend two feet above the l00-year flood plain elevation?
❑ Yes ❑ No ❑ N!A
If No, what measures are being taken to protect them against flooding?
5. Finish grade elevation of the pump station:
6. Design flow of the pump station: millions gallons per day (firm capacity)
7. Operational point(s) of the pump(s): gallons per minute at _ feet total dynamic head (TDH)
8. Number of pumps provided:
9. Number of pump cycles at average daily flow: cycles per hour
10. Power reliability in accordance with 15A NCAC 02T ,0305fhH I)-.
❑ 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: SSEA 04-16 Page 3 of 6

VI11, PUMP STATION DESIGN CRITERIA (continued)
11. Summarize the pump station design elements:
Design Element
Plan Sheet
Reference
Specification
Reference
Power Reliability Source and Associated Elements
Screened Wet Well Vent
Check Valves, Gate Valves, etc.
Control Panel
Restricted Access Elements (Fence, Wet Well Lock, etc)
Audible and Visual Alarms
Telemetry/SCADA
Level Controls
Weatherproof Sign with Required Information
Air Relief Valves
12. Summarize the force main to be permitted:
Size (inches)
Length (feet)
Material
High
Elevation (feet)
Discharge
Elevation (feet)
Pump -Off
Elevation (feet)
13. Air release valve station locations per 15A NCAC 02T .0305(i):
Air Release Valve # Station Plan Sheet Reference
FORM: SSEA 04-16 Page 4 of

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
I. Does the project comply with all separations found in 15A NCAC 02T .0305(f1 & (al
> 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-I waters of Class 1 or
Class II 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
To2 slo a of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimmina 2ools
I0 feet
Final earth grade (vertical)
36 inches
15A NCAC 02T.0305f contains alternatives where separations in 1}2T.0305(f1 cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Watest Classifications webpage
If noncompliance with 02T.0305(f) or (g), 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
r This would include Trout Buffered Streams per 15A NC.AC 2B.0202
4. Does the project require coverage. -authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
i- Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)f6) (additional permits'certifications)? ® 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, 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
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: SSEA 04-16 Page 5 of

IX. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02T, the Minimum- Design Criteria for the Permitting of Pam; Stations
and Force Mains (latest version),and the Gravity SeweT.Lwiinymum Design Criteria (latest versions as applicable?
® Yes ❑ No
If No, complete and submit the VariancelAlternative 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, - I vD> S ` attest that this application for
(Professional Engineer's name from Application Item 111.1.)
LJb- WOa 1E nJS.an!
(Facility name from Application Item 11.1.)
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 this application package and its instructions, as
well as all applicable regulations and statutes. 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 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation ��, f,1 /j n l
North Carolina Professional Engineer's seal, signature, and date: 7i"'T-<, . .`"', C1
- 024406
QQ NGlN�:'�ti
:.......... .......... s. S1
,
3. Applicant's Certification per 15A NC AC 021.0-106
W,tALU!L1`A LY attest that this application for
Authority's name & title fi6m Application Item 1.3.)
E L.Dwct3b- n1�Cr SEuJ tcKTE�S�p+V
(Facility name from Application Item II.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. 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. 1 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 15.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 asell as civil penalties up to $25,000 per violation.
FORM: SSEA 04-16 Page 6 of 6

�1 �/� a _ :s T--• ��s �1�_r fit, �-��1 - t.�
:
to
t �-/ _`�_ � � - ,.:no: st.l5. _ '� � pAo sI _�\ ait. % \ c`. 1- � — _• � �-�
�3 ! i�j `� r„% �tusGc•( t/ ' C lf`� ?`��.?,r' 'I ,��` i + L~�\ti, 1
43
r- 1 K.vrrr _ 1
\ �r,, � r /SITE �- � � ,� A�, ''�a�'�f�•,� 4�� � r ��`+ 1 } � ;1 �/�/i/,i
n/ 1 � ` J � f• 5
SASdeMoe
do' .�..-;�, •^ ,�� /r � � 6uerwmin
N--
r - � =�_ -_ '.• ��.. _ _ -- �=•..' .. - •fir ,-. -' _�:.\.`J, i 1�='_
f� '•Lake
[em
301
ti
SCALE 1:24 000 RDAO CLASSIFICATTON
I IEI 0 KKOMErERS I_ 1 4 [—I e-ww
rR� # 6 [qI[R 1000law
I 4Y1C
Aga ES R1un,tlrf Ray. Yf RariR I 5 Sta,e R.
6 1�� adtl ww 60m _ YOW R0O0 I®
v nET
CONTOUR INTERVAL S (UT I Aurww sw"s
NO„ TH MdOMC N VEAIR:At OAILM Or 19u Eil
1 OANUrIrm
t "44fu
TNepruh+ted f0 @rfgm Md, dMaRKa—L CwwOsl PmgQ US TopePrad,tl Sundud, lotsAmettdtLfdeRNx4lted.smwfpdENFIELO, NC
Y9mnR10M1
6O RMRhr
rR»w+,rR w,ar..ran 2016

r-
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resotirces Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Enfield
Project Name for which flow is being requested: Wildwood & Canal St. Sewer Extension
More titan one FTSE maybe required far a single project if the owner of the WWTP is not responsible jar all pump
stations along the route of the proposed wastewaterflow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Enfield Wastewater Treatment Facility
b. WWTP Facility Permit #: NCO025402
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. TotaI flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
1.0
0
0.4764
0.00972
0.48612
48.6° o
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
Average Approx. Obligated, Total
Pump Pump Daily Current Not Yet Current Flow
Station Station Firm Flow** Avg. Daily Tributary Plus
(Name or Permit Capacity, * (Firm pf), Flow, Daily Flow, Obligated Available
Number) No. MGD MGD MGD MGD Flow Capacity***
PS #3 WQSC00181 0.3456 0.1382 0.0177 0 0.0177 0.1205
* The Firm Capacity (design flow) 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
(pi) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** 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.
Downstream Facility Name (Sewer): Town of Enfield
Downstream Permit Number: WQCS00181
Page I of 6
FTSE 10-18

II1. Certification Statement:
I W. W4ynie 4,ibE2Sotj 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 certifies that the receiving
collection system or treatment works has adequate capacity to transport and treat the proposed new
wastewater.
Page 2 of 6
FTSE 10-18

ENGINEERING
SERVICES, PA
1202 Benson Road
Suite 200
P.O. Box 1849
Garner, NC 27529
■
Telephone:
919.662.7272
Fax:
919.662.7320
March 27, 2019
NC DEQ/DWR
Water Quality Permitting PERCS UNIT
1617 Mail Service Center
Raleigh, NC 27699-1636
RECENMINCDEQ/M
MAR 2 u 2019
Wales '.tuallty
Permitting Section
RE: Town of Enfield, Wildwood — Canal Sewer Extension Project
Engineering Services Project No. 18005
DWI Project No. E-SRP- W-17-0107
To Whom It May Concern:
Enclosed are one (1) original and one (1) copy of the Sewer System Extension
application, two (2) copies plans and specifications, with supporting
documentation and the application fee, for the above referenced project. The
project will consist of installing approximately 2,610 linear feet of 8" sanitary
sewer main.
If you have any questions, please contact me at Engineering Services, P.A. at
[phone].
Sincerely,
ENGINEERING SERVICES, P.A.
/11 ./�
4��
Brian G. Cox, P.E.
enc:
cc: File
NC Dept of Environmental Quality
APR - 9 2019
F
- Meigh Regional Office
"A COMMTMENT
TO EXCELLENCE"