WQ0041354_Application (FTSE)_20200107

State of North Carolina
Department of Environmental Quality
_DWRDivision of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: W(jt +T (to be completed by DwR)
All items must be completed or the application will I)e returned DEC 12 ?C19
I. APPLICANT INFORMATION: rOORESVILi_y
JE REGIONAL OFFICE
1. Applicant's name; Carolina Water Service, Inc. of NC (company, municipality, IIOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: I3ryco Mcndenhall per ISA NCAC 021' . IQb(b)
Title: Vice Prey(4lydtt of Operations
4. Applicant's mailing address: P.O. Box 240908
City: Charlotte State: NC Zip: 28217-_
5. Applicant's contact information:
Phone number: [phone] Email Address: Bryce.Mendenhall((DCarolinowatomervicene.cont
II. PROJECT INFORMATION:
1. Project name: Lancaster Highway Townhomes
2. _Application/Projcut status: Z Proposed (New Permit) ❑ ExistingPermit/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: Mecklenburg
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.047' Longitude:-80.867'
5. Parcel ID (if applicable): 22345184
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Marg Van Dine, PLS, PE License Number: 036289
Firm: McAdams
Mailing address: 3430 Torin doh n Way, Suite 110
City: Charlotte State: NC Zip: 28277
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TRF;ATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Lamplighter Villagc South Permit Number: SCO030112
Owner Name: Carolina Water Service, Inc. of NC
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQUnknown Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): Caroling Water Service. Inc. of NC
NORM: FTA 04-16 Page 1 of 5

REC'1 IVF-DNCGf' NR/Dwfl
DEC r m9
VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public ConTfjlIrEPSLiWpn' been attached?
NAL OFFICE
® Yes ❑No RNA—
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
% Industrial (See 15A NCAC 02T .0103(20))
,Is 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 021.01140
Daily Design Flow a°b
No. of Units
Flow
2 Bedroom Dwelling---
240 gal/day
60
14,400 GPD
3 Bedroom Dwelling
360 gal/day
48
17,280 GPD
Clubhouse
25 gal/employee
3
75 GPD
Pool (based on 1500sf pool w/ a maximum
user load of 1 erson/15sf
10 gal/person
100
1000 GPD
gal/
GPD
gall
GPD
Total
32,755 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-4).
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: 32,755 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 & MI)C (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8"
60 ft
GRAVII'Y
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Y 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 (Punta Stations/Force Mains):
COMPLETE FOR EACII PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: None
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 (TDII)
5. Summarize the force main to be permitted (for this Purnp Station):
Size (inches) I Length (feet) ( Material
6. Power reliability in accordance with 15A NCAC 02T .0305L11j(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 021 .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 time&arrmes, 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 .0205(() & fr} ® Yes ❑ No
y I. JA NL AL_ U21 .U.}t7J(11 contains 1lll lllm Unl. SC al'a UOIIS Ilia[ Shall ne roVl(It;U [or SEwer
'ymcp s.
Setback Parameter*
Se aration Required
Storm sewers and other utilities not listed below vertical) _
24 inches
_Water mains (vertical -water over sewer includes 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 sewers
2 feet
**Any private or public water supply source, including any welts, WS-1 waters of Class I 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, F1QW, 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
An b_uildm foundation
5 feet
_Any basement
10 feet
Tq slope of embankment or cuts of 2 feet or more vertical height-
10 feet
Drainage systems and interceptor drains
5 feet
An swimminpools
10 feet
Final earth grade (vertical)
36 inches
➢ 5_;A_�iCAC 02T.030S(s�) contains alternatives where separations in 021'.0305 cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Witter Clitssific itions %vebtrtge
➢ If noncompliance with 0305(6 orfu), 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 I SA NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or Yes X❑ No
individual permits or 401 Water Quality Certifications`?
➢ Information can be obtained from the 401 & Buffer Pennitti►tg Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per I ti 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 02'I%0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to strcambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ❑ No ® N/A
➢ If ycs, include an attachment with details for each line, including type (aerial line, size, material, and location).
Iligh 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:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Desire Criteria for (lie Permitting of fun» n Stations
and [once Mains (latest vcrsiou and the.G trl vity� cr Mittintttm Desiut Criteri(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 renuot Is required Prior to submittal of the Fast Track AP,plicatlon and supporting documents.
2. Professional En incer's C010ficatio :
�jJjJ /� _„ attest that this application for
(Procssianal Gnginccre from Application Item III. l.)
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 senit)htttiij�,(ygd date:
g••.....•• O`er.
VAN_.��!�
3. Applicant's Certification per 15A NCAC 02T .0106(b):
hol
/I I
I tr ,M EN flENW,,4 f.-tr V P ot, C) t_ *, }-c 1.0 attest that this application for
(Signahire 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. 1 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 143-215.68, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, winch may
include a fine not to exceed $10,000 as well as civil penalties tW to $25,000 per violation,
I
Signature: Date: l l 1 t a L 0 t Q
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
UL
W,"R
Department of Environmental Quality
Division of Water Resources
Division of dater Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Carolina Water Service, Inc. of NC
Project Name for which now is being requested: Lancaster Townhomes
More than one FTSE maybe required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Lamplighter Village South WWTP
b. WWTP Facility Permit #: SCO0430112
All flows are in MGD
c. WWTP facility's permitted flow 0.500 (plant in service)
d. Estimated obligated flow not yet tributary to the WWTP 0.01975
e. WWTP facility's actual avg. flow 0.228 (9/18 to 8/19)
f. Total flow for this specific request 0.032755
g. Total actual and obligated flows to the facility 0.275
h. Percent of permitted flow used 55%
Il. 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 / p fl, Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
Danby AaTAX Trry WWTP 0.792 0.317 0.223 0.051785 0.275 0.042
* 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
(pf) 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): Danby WWTP
Downstream Permit Number: SCO0430112
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Bryce Mendenhall 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 for�}} certifies that the receiving collection system or treatment
works has adequate capacity tq transport an4*at the proposed new wastewater.
VP OF 0PC2gTIpN S
Title of Signing Official
Date
I
Page 2 of 6
FTSE 10-18

STATE OF NORTH CAROLINA
UTILITIES COMMISSION
RALEIGH
APPENDIX A
DOCKET NO. W-354, SUB 186
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
is granted this
to provide water and sewer utility service
102
4 IN-qW Iqlawillsmgm0l
Mecklenburg County, North Carolina
subject to any orders, rules, regulations,
and conditions now or hereafter lawfully made
by the North Carolina Utilities Commission.
ISSUED BY ORDER OF THE COMMISSION.
This the day of 1998.
NORTH CAROLINA UTILITIES COMMISSION
UtA Geneva S. Thigpen, Chief Clerk

Central Files: APS _ SWP
1 /7/2020
Permit Number WQ0041354
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
barry.love
Coastal SWRuIe
Permitted Flow
32,755
Facility
Facility Name
Lancaster Highway Townhomes
Location Address
Owner
Owner Name
Carolina Water Service Inc of NC
Dates/Events
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Mooresville
County
Mecklenburg
Facility Contact Affiliation
Owner Type
Non -Government
Owner Affiliation
J Bryce Mendenhall
PO Box 240908
Charlotte NC 28224090
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
1 /7/2020 12/12/2019 1 /7/2020 1 /7/2020
Regulated Activities Requested /Received Events
Subdivision Additional information requested 12/19/19
Wastewater collection Additional information received 12/20/19
Outfall
Waterbody Name Streamindex Number Current Class Subbasin