WQ0031450_Application (FTSE)_20190513

State of North Carolina
Department of Environmental Quality
Division of Water Resources
c— Wll-R
I5A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dof Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
I. Applicant's name: Johnston County De artment of Public Utilities (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 Cox Farmer PE per 15A NCAC 02T, .0106(b)
Title: Director
4. Applicant's mailing address: 309 E. Market Street y
City: Smithfield State: NC trip: 27577- d
5. Applicant's contact information:Cd
Phone number: (2U9 209-8333 Email Address: chandra.farmerCa,iohnstonnc.com E
c c"
II. PROJECT INFORMATION: y
1. Project name: NC 42 East Pum Station Uggrade
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQ0031" 450 and issued date: 8/21/2007 p
If new construction but part of a master plan, provide the existing permit number: WQOQ
3. County where project is located: Johnston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.646368 Longitude:-78.374688
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
L Professional Engineer: J. Clark Maness PE License Number: 047235
Firm: WithersRavenel, Inc.
Mailing address: 115 MacKenan Drive
City: Cary State: NC Zip: 2751 1-
Phone number: [phone] Email Address: cmaness(@withersravenel.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Johnston County Wastewater Treatment Facility Permit Number: NCO030716
Owner Name: Johnston_ County Public Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ00Nq,;brrrnock Downstream (Receiving) Sewer Size: inch F
Syguilk Wide Collection System Permit N'ufliber(s) (if applicable): WQCS00060
Owner Name(s): Johnston County Department of Public Utilities
FORM: FTA 04-16 Page I of 5

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality section
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality section
Fayetteville, North Carolina 26301-5094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
(910) 4B6-0707 Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Qualily Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Ralelgh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
(919) 7914200
Northampton, Orange, Person, Vance, Wake,
(919) 78B-7159 Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Cunituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilminaton Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W_ Hanes Mill Road
Alamance, Allegheny, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3

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 ®NfA
2. If the Applicant is a Developer of lots to be sold, has a Develqjrer's Operational AgeenientffgKM: D1:V 1 been attached?
❑ Yes [:]No ON. -'A
3. If the Applicant is a Home.-Tra ert - [ wn4rs' Assuciation hasan O erationpl Agreement (FORM; I40A1 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 / preschool / day care ❑ Medical / dental ! veterinary facilities ® Swimming Pool !Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming PoolrFilter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial °o Commercial
% Industrial (See 15A NCAC 02T _0101(20))
4Is there a Pretreatment Program in effect? []Yes []No
6. Hasa flow reduction been approved under I5A NCAC 02T .01 i4 ? ®Yes ❑ No
➢ If yes, provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f1)
Daily Design Flow ",e
No. of Units
Flow
gal!
GPD
gal/
GPD
gall
GPD
gall
GPD
gall
GAD
gaff
GPD
Total
GPD
a See 15 A NCAC O2T A 114ih1, fail. f e}i 11 and (c)i21 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 [in table 15A NCAC 02T.01141 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 I SA 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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 &MDC (Gravity Sewers
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
%- Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
i 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
Vill. PUMP STATION DESIGN CRITERIA (If Applicable)— 02T .0305 & MDC (Pum[) Stations/Force Mains);
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: NC 42 East Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.646368' Longitude.-78.374688'
3. Design flow of the pump station: 0.28368 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 425 gallons per minute at 124 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
' / i
6. Power reliability in accordance with 1M NCAC 02T .0305(h)ilj:
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)( I )(B),i
3 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):
i 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.
i► 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(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(i3 & (g ® Yes [:]No
> 15A NCAC 02T.0305(f) contains minimum separations that shall be Drovided for sewer systems:
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
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 I or
Class 11 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 buildine foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Dmina e systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
i 15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(f) cannot be achieved.
"Stream classifications can be identified using the Division's NC Surface Wafer C lisSsiI ications weboaee
If noncompliance with 02T.0305(f) or (e). 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 N AC 02B .0200? ❑ Yes ❑ No ® N A
> This would include Trout Buffered Streams per 15A NCAC 213,0202
4. Does the project require coveragelauthorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
Information can be obtained from the 401 & Buffer Pcrmittirju Branch
5. Does project comply with .15A NCAC 02T.0105(c)(6) (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 ® NIA
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-I6 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A N:AC 02T, the Muiimum Dmiun Criteria for the Pcanitling of I'umr� Stati iti
ittxl ioxco pNaitts I tc I11, and the G". y SA%Tr Miflittwin.lie �u.[riteria {latest cr iQn] as applicable?
to Yes ❑ No
If No, complete and submit the Variance+Alternative Design Request application (VADC 10-14) and supporting documents for
review. Apuroval of the reguest is rggiilred prior to submittal orthe Fast Track Agplication and supporting ocuments.
2. Professional Engineer's Certification:
UARA Ama-SS _ 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 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):
CAR0�i���
_ •a SEAT. �.
0�4]235 .:
. o err
•.•�
��lrillll���
[, attest that this application for
(Signature Authority's name & title from Application Item 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
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. 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 pans 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 0,t&�----L- Date:
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
Division of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Johnston County
Project Name for which flow is being requested: NC 42 East WWPS Upgrade Mod 31450
More than one FTSE nnay be required for a single project if the owner of the WWTP is not responsiblefor all punnnp
stations along the route of line proposed wastewater flow
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Central Johnston County Regional WW Facility
b. WWTP Facility Permit #: NC 030716
All flows are in MGD
c. WWTP facility's permitted flow 9.5
d. Estimated obligated flow not yet tributary to the WWTP 2.1275
e. WWTP facility's actual avg. flow 5.841
f TotaI flow for this specific request 0
g. Total actual and obligated flows to the facility 7.9685
h. Percent of permitted flow used 61.5% actual, 87.5% paper
H. 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 Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pl), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
NC 42 3I450mod 0.612 0.2448 0.0384 _ 0.0912 0.1296 0.1552
Clayton T V C 0.648 0.2592 0.0878 0.14684 0.2346 0.0246
* 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):
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

II1. 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 certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signing Of Signature
3IoM
of Signing Official
Page 2 of 6
FTSE 10-18

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40� WithersRavenel
' Our People. Your Success,
May 13, 2019
Raleigh Regional Office - Water Quality Section
3800 Barrett Drive
Raleigh, North Carolina 27609
Attn: Jason Robinson, PE
RE: NC 42 East Pump Station Upgrade - Fast -Track Application Modification
State Pen -nit No.: WQ0031450
WR Project No. 02140521.00
Dear, Mr. Robinson:
14CI3eptofEnvironmental Quality
MAY 13 2019
Raleigh Regional Office
On behalf of 42 East, LLC, please find attached documentation in support of a modified Fast -Track
Application (FTA 04-16) for the NC 42 East Pump Station Upgrade project As noted in the application, this
modification consists of increasing the pumping capacity of the pump station from 350 gpm to 425 gpm. The
reason for the modification is that the number of homes the NC 42 East Pump Station must serve has
increased since the inception of the original Tuscany Development Master Plan. This increase in pumping
capacity will be achieved by replacing the two (2) existing 30 HP submersible pumps with two (2) 50 HP
submersible pumps, replacing the existing 60 kW backup generator, and replacing some electrical
components in the existing electrical shelter. The proposed modification meets all NCDEQ-DWR minimum
design criteria for pump station design.
Please reach me at [phone] or cmanessC vithersravenel.com with any questions you may have.
Included with this submittal is one original and one copy of the items listed below:
• Original and Copy of Application Form (FTA 04-16)
• Original and Copy of Flow Tracking for Sewer Extension Applications (FTSE 10-18)
• Pump station area maps
• Application Fee -Check in the Amount of $480.00
Please advise if you require additional information or have any questions concerning our submittal.
Sincerely
WithersRavenel
J. Clark Maness, PE
Cc: Terry Stevens - 42 East, LLC.
115 MacKenan Drive I Cary, NC 27511
t- 919.469.33401 f. 919.467.60081 www.withersravenel.com I License No, C•0832
Asheville I Cary I Greensboro I Pittsboro I Raleigh I Wilmington

F

::WithersRavenel Letter of Transmittal
Our People Your 5+tucss
115 Macl<enan Drive
Cary, NC 27511
;: 919.469.3340 1 f: 919.467.6008
TO: North Carolina Division of Water Resources (PERCS Unit)
3800 Barrett Drive
Raleigh, NC 27609
WE ARE SENDING YOU ❑ Attached
THE FOLLOWING ITEMS ❑ Shop Drawings
❑ Copy of Letter
W� '
i •
05/13/2019 • - � 02140521.00
Fast Track Sewer Extension Permit Unit
42 East Pump Station Upgrades
Fast Track Sewer Extension Permit Application
❑ Under Separate Cover via
❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Change Order ❑ Diskette ❑ Other
2
05/13/2019
1
Completed Fast Track Sewer Extension Permit Application (one original and one copy)
1
05/13/2019
2
Check for permit application
NC Dept of Environmental Quality
Ratulgh Regional Office
THESE ARE TRANSMITTED as checked below:
® For approval ❑ Approved as submitted
❑ For your use ❑ Approved as noted
❑ As requested ❑ Returned for corrections
® For review and comment ❑ Other
❑ Resubmit
copies for approval
❑ Submit
copies for distribution
❑ Return
corrected prints
❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS: Please see the attached copies of the fast track sewer extension permit application for the 42 East Pump
Station Upgrades project. Please also see the attached check for the permit application fee.
Please do not hesitate to reach me at [phone] or at cEm—[e-mail] should you have any questions
or concerns.
Regards,
Terry Stephens
COPY TO: 42 East, LLC. SIGNED: J. Clark Maness, PE zwz'24; OLVV,--
If enclosures are not as noted, kindly notify us at once.

J{� p� y. � ` � . • F
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