WQ0041328_Application (FTSE)_20191104

State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Divislon of 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
I. APPLICANT INFORMATION:
1. Applicant's name: Avondale Trace. LLC (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: Crain Stone per 15A NCAC 02T .0106(b) IV C Department of
Environmental Quality
Title: Manager Received
4. Applicant's mailing address: 5614 Riverdale Drive NOV 0 4 2019
City: Jamestown State: N.C.. Zip: 27282-9113
5. Applicant's contact information:
Winston-Salem
Phone number: 336 454-6134 Email Address: [e-mail] Regional Office
II. PROJECT INFORMATION:
1. Project name: Avondale Trace Apartments
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ and issued date:
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: Guilford
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.03687' Longitude:-79.9464'
5. Parcel ID (if applicable): 0154826
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Homer S. Wade License Number: 10771
Firm: Borum. Wade and Associates. P.A.
Mailing address: 621 Eugene Court - Suite 100
City: Greensboro State: N.C.. Zip: 27401-2711
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (W WTF) INFORMATION:
1. Facility Name: Eastside Wastewater Treatment Plant Permit Number: NCO024210
Owner Name: City of High Point
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than W WTF):
1. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: _ inch
System Wide Collection System Permit Number(s) (if applicable): WQCS_
Owner Name(s):
FORM: FTA 04-16 Page I of 5

V1. GENERAL REQUIREMENTS
1. 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 Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational 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 and/or Motels
❑ School / preschool / 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
_I % Industrial (See 15A NCAC 02T .0103(20y
' fIs there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ® No
➢ If Yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140
Daily Design Flow . b
No. of Units
Flow
1 and 2 Bedroom Units
I80 gal/day
48
8,640 GPD
3 Bedroom Units
270 gal/day
24
6,480 GPD
gal/
GPD
gal/
GPD
gall
GPD
gal/
GPD
Total
15,120 GPD
a See 15A NCAC 02T .0114(b). (d). (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-41.
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 18 090 GPD (per 15A 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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
437
PVC
6
81
PVC
➢ Section II & 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
VIII. 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 NCAC 02T .0305(h)(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 timeftames, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

tX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(f) & (a)
D 1 SA N('Ar MT 0205(fl nnntains minimum separatinm that shall he nrovided 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 I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I 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
Anv 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 pools
10 feet
Final earth grade vertical
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 Surface Water Classifications weboage
➢ 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
➢ Seethe 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 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 & Buffer Permitting 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 ❑ 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 System -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 Desi, n Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Seger Minimum Design Criteria (latest version) as applicable?
0 Yes ❑ No
IPNo, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supportingdocuments for
review. Approval of the request is required prior to submittal of the Fast Track Application and supportine documents
2. Professional EW's Certification:I, V(V* ✓, W do attest that this application for
(Professional Engineer's 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 any 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 143-215.6B, 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.
North Carolina Professional Engineer's seal, signature, and date: � ,,f),-�
.- i
_- ¢ SEAL
10771
C �'vGINEER, .
3. Applicant's Certification per 15A NCAC 02T .0106(b):
G U%e, 4j"yjti s attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
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. 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 parls 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 143-215.6B, 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 $10,000ass well as civil penalties up to $25,000 per violation.
Signature: i" Date:
FORM: FI A 04-16 Pagc 5 of 3

State of North Cnroliaff
Deparhnent of ) rtvironn)ental Quality
Division of Water Resources
Flow T'raelcing fot• Server lextensimi Applications
Mill';lon of 4Uat r (tc;onlrr`` (FTSE 10-18)
Application Number; 2019-141.
Entity Requesting Allocation: Craig Slone, Manager Avondale Trace ,LLC
Project Name for which flow is being requested: Avondale Trace Apartments
Afore flan one ME tray he regnherl for a sh/gle project Jf fhe ouvrer nflhe WHIP is trot responslhle for all /amp
slnt/oil.s along the ldtrte of //ie proposeAtveslelvnfer ftoly
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWII" Facility name: Eastside W WTP
b. W WTP Facility Permit #: NC-0024210
ffiflows fire in MGD
c. W WTP facility permitted flow; 26.0000
d. Estimated obligated flow not yet tributary to the WWTP: 0.7672
e. W WTP facility's actual average flow: 15.5833
f. Total flow for this specific request: 0.0151
g. 'total actual and obligated flows to fire facility: 16.3657
h. Percent ofpermitled flow used: 62.94%
II. Complete this section for each pump station yen are responsible for along the routs of this proposed
wastewater flow.
List pump stations located between the project connection point and the W WTP.
(A)
(it)
(C)
(D)=(niC)
(E.)-(A-D)
Pump
Pump
Finn
Design
Approx.
Obligated,
Tolal Current
Available
station
Station
C•npacil)'
Average
Current
Not Yet
Flow Phis
Capacily'
(lane or
Permit
Daily Flow'
Avg. Daily
Tributary
Obligated
Number)
Nanber
(Fiml/po.
Flow,
Daily Flow,
Flow
MUD
Ji
11IGD
DIGD
MOD
AIGD
Wlrak
w000)5151
5.0400
2.0160
0.1611
0.240
1.1110
0.9050
)ttrerhl. W0000157A 2Z7091 8.1811 8,19% 0.7491 9.1493 •0.1656
ANIA AMA AN/A INA ANIA W/A 8WA
AWA ANIA MA VIVA ANIA ANIA MA ANIA
AN/A MIA eN/A "A AMA ANIA MA kN/A
°The Rirm Cnpncily (Jcs(gn aoly) of any pump slnllou Is deNmJ ns iho maxinnuu pnnpled now Ibnl
can be achieved trills Ilse hugest pump Inlsen out of service.
Design Avernge Flow Is Iho Drnu enpncily of Iha pump slnllou dlvldeU by fhe peeldrg factor (pl) sat
less Ihm1 ASs pm• Seetion 2.02(A)(4)(c) of the SVaniumm Design elite, in,
--*A Plmming Assessment Addendum shnll be annehed for each punlpslnffoll located behvicen fhe
project connection point and (lie 1Yw'1.1' srlsere (lie Available Cnpnelty is 5 0.
Downslrcmnl'acility Nnnle(8esver); _
Dotvnslrenul Pennil Number; --
Page 1 of 0 FTSn 10-10

III, Certification Statement
1, Terry honk 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 file 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 ionic to tine receiving treatment
plant under norms] circumstances, given the implementation of the planned improvements identified in
Ilie planning assessment where applicable, This analysis has been performed in accordance With local
established policies and procedures using the best available data. This certification npplies to these items
listed above In Sections I and II plus all nllached planning assessment addendum for which I am the
responsible party. Signature of this fornn certifies that the receiving collection system or treatment works
has adequate capacity to transport and treat the proposed new wastewater.
SJgrnJn� igt� t e
PIOBuc sae✓ie" �� P�
Title ofSJgning Of cfal
Date
10/11/2019
Page 2 of 8 E 18E 10-10

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section 11 where Available
Capacity is < 0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
% and MGD of the Available Capacity (E) in Punip Station
; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; and/or
d. The following applies:
The Citv of Hieh Point met with NCDEO on February 9, 2017 to discuss the flow allocation
to Riverdale Pump Station while the station was being studied for an additional increased
capacity of 2.0 MGD. As a result of the meeting the City and DEQ agreed that the current
average daily flow for the Riverdale Pump Station was 8.4 MGD. The City of High Point
has contracted with 3 engineering firms to expand the capacity of the Riverdale
Pump Station to 30 MPD. The pump station upgrades are anticipated to be completed
December 2019.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to
allow this flow to be permitted, without a significant likelihood of over -allocating capacity in the
system infrastructure,
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste
disposal system.
Signing
Page 3 of 6
FTSE 04-16

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Environmental Quality
BW ,\ Received
NOV 0 4 2019
Borum, Wade and Associates, P.A.
WmRon-Salem
Rcgieflal Affiee
October 31, 2019
Surface Water Protection Supervisor
North Carolina Department of Environmental Quality
Winston-Salem Regional Office
Water Quality Section
450 W. Hanes Mill Road — Suite 300
Winston-Salem, NC 27105
[phone]
Regarding: Avondale Trace Apartments
5206 W. WendoverAvenue
High Point, NC
Dear Sir or Madam:
Please find attached fast track application for the gravity sewer line for the above referenced
project. Included in this package are the following:
1. One original and one copy of the Fast Track Application
2. One check for $480 (#12)
3. One original and one copy of the Downstream Sewer Flow Tracking/Acceptance
Form
4. One original and one copy of the USGS Topographic map and street level map.
The proposed private sanitary sewer extension will serve 72 apartment units for Avondale Trace
Apartments. The project is located on 5206 W. Wendover Avenue in High Point, North Carolina.
A public sewer extension will be permitted for the gravity sewer into the existing 8" sanitary sewer
line owned by the City of High Point. The proposed private sanitary sewer will be installed by
Avondale Trace, LLC and owned and maintained by Avondale Trace, LLC.
Please call if you have any questions.
Very Truly Yours,
N4 0&0
Mike Otto
Enclosures
621 Eugene Court, Suite 100, Greensboro, NC 27401-2711 • PO Box 21882, Greensboro, NC 27420-1882
Phone [phone] • Fax [phone]
Website: grew borrmr-wade corn
N.C. License #: C-0868

) LJ) 1Y V I
Borum, Wade and Associates, P.A.
October 31, 2019
ENGINEERING PROJECT NARRATIVE FOR INSTALLATION OF PRIVATE SEWER
Project:
Avondale Trace Apartments, 72 units
Developer:
Avondale Trace, LLC
Public Utility:
City of High Point
County:
Guilford County
WWTP Facility:
Eastside Waste Water Treatment Plant (NC 0024210)
Existing Conditions:
The City of High Point has the line capacity and the allocation availability to accept the sewer
flows from this project. The anticipated flows from this project are not expected to cause any
capacity related sanitary sewer overflows or to overburden any downstream pump stations en -
route to the receiving treatment plant under normal circumstances. There is an existing 8" public
sanitary sewer main adjacent to the property along the western side of W. Wendover Avenue that
will serve as the outfall for the project.
Proposed Project:
The project will include 437 L.F. of 8" private sanitary sewer line, 81 LF 6" private sanitary sewer
line and 3 new manholes. The total project will be constructed at one time (i.e. no project
phasing). This project will connect into the existing 8" public sanitary sewer outfall line adjacent to
the property along the western side of W. Wendover Avenue and will be extended the required
distance to service the proposed Avondale Trace Apartments (72 rental apartments, 15,120 gal
per day). The City of High Point, NC has confirmed that adequate capacity is available at the
Eastside Waste Water Treatment Plant to treat the wastewater discharge from this project (see
attached FTSE).
Owner/Operator:
The sewer line extended within this project will be privately maintained by Avondale Trace, LLC.
Permits:
Prior to beginning construction of the proposed sewer line the appropriate NCDEQ Gravity Sewer
Permit will be acquired.
621 Eugene Court, Suite 100, Greensboro, NC 2740 1-27 11 • PO Box 21882, Greensboro, NC 27420-1882
Phone [phone] • Fax [phone]
Websile: ww_ic bormn iude.com
N.C. License #: C-0868