WQ0041445_Application (FTSE)_20200131

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Mvision of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: ' V > ���`I �'1 T�J (to be completed by DWR) RECE�ED�C®ENRf ®WR
All items must be completed or the application will be returned
JAN 2 S 2020
I. APPLICANT INFORMATION: WQROS
MOORESVILLE REGIONAL OFFICE
1. Applicant's name: Charlotte -Mecklenburg Schools (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: Gary S. Adams per 15A NCAC 02T .0106(b)
Title: Director of Architecture
4. Applicant's mailing address: P.O Box 30035
City: Charlotte State: NC Zip: 28230-
5. Applicant's contact information:
Phone number: [phone] Email Address: garvs.adams&cros.kl2.nc.us
II. PROJECT INFORMATION:
1. Project name: Lansdowne Elementary School
2. Application/Project 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: Mecklenburg
4. Approximate Coordinates (Decimal Degrees): Latitude: 80.78' Longitude:-35.14'
5. Parcel ID (if applicable): 18716209
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Lester A. Barnes License Number: 040973
Firm: Alfred Benesch & CompanX
Mailing address: 2359 Perimeter Pointe Parkway, Suite 350
City: Charlotte State: NC Zip: 28208-
Phone number: [phone] Email Address: lbarnes&benesch.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: McAlpine Creek WWTP Permit Number: NCO024970
Owner Name: Charlotte Water
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
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] of 5

VI. 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: HOB) 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))
4 Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? [:]Yes ®No
➢ If ves, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114([0
Daily Design Flow ,b
No. of Units
Flow
Elementary School
15 gal/day/studend
900
13,500 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
13,500 GPD
a See 15A NCAC 02T .0114 R (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: 13,500 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
515
PVC
8
80
DIP
➢ 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 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(f) & (g) [-]Yes ❑ No
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
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
Any 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(e1 contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpaae
➢ If noncompliance with 02T.0305(1) 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 0213.0200? ❑ 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 Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes [:]No
Per 15A NCAC 02T.0I05(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:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum 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 and supporting documents.
2. Professional Engineer's Certification:
I,
(Professional Engineer's name from Application Item II1.1.)
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 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 — hi 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 S10,000, as well as civil penalties up to S25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
�� On SS w /yam%
�DL ,o
TIN
i��to
1,0 _�a 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. 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 143-215.6B, 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 S10,000 as well as civil penalties up to $25,000 per violation.
Signature:
Date: 01, 2Z, 7�J7o
FORM: FTA 04-16 Page 5 of 5

3
Division of Water Resources
Entity Requesting Allocation:
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Alfred Benesch & Co.
Project Name for which flow is being requested: Lansdowne Elementary School
More than one FTSE inay be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wasteivater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: McAlpine Creek, Irwin Creek, Sugar Creek
b. WWTP Facility Permit #: NCo024970, NC0024945, NC0024937
All flows are in MGD
c. WWTP facility's permitted flow 99.00
d. Estimated obligated flow not yet tributary to the WWTP 14.025
e. WWTP facility's actual avg. flow 75.500
f. Total flow for this specific request 0.0135
g. Total actual and obligated flows to the facility 89.538
h. Percent of permitted flow used 90.4%
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 Pump Average
Approx. Not Yet Total Current
Station Station Firm Daily Flow**
Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm / po,
Avg. Daily Daily Flow, Obligated
Available
Number) No. MGD MGD
Flow, MGD MGD Flow
Capacity***
* 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): Lansdowne
Downstream Permit Number: Unknown
Page 1 of 6
FTSE 10-18

III. Certification Statement:
1 Keri Cantrell
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
rcial Signature
Chief Engineer
Title of Signing Official
8/22/2019
Date
Page 2 of 6
FTSE 10-18

CHARLOTTE
Wt)TER
August 23, 2019
Mr. David Gusty
Alfred Benesch & Co.
2359 Perimeter Pointe Parkway
Suite 350
Charlotte, NC 28208
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
LANSDOWNE ELEMENTARY SCHOOL
6400 PRETT COURT, CHARLOTTE, NC
CLTWATER TRACKING# 20194842
After an analysis of the sanitary sewer associated with the proposed design of project, 20194842,
Lansdowne Elementary School, it was determined that there is sufficient capacity to accommodate
the proposed sewer flow of 13,500 gallons per day (900 students x 15 gpd/student) at the
connection point(s) indicated on the submitted utility plan for transmission to the McAlpine Creek
Wastewater Treatment Plant; NPDES permit number NC0024970, for treatment. This acceptance of
flow is based upon the existing capacity of the designated publicly owned treatments works. Please
see attached NCDEQ-FTSE form.
Charlotte Water (CLTWater) agrees to furnish water to the subject project. The water quality to the
subject project is regulated by the State Drinking Water Act Amendments of 1986 and The Water
Supply Management Plan, PWS ID # 0160010 on file with the Public Water Supply Section of
NCDEQ. However, CLTWater cannot guarantee a constant pressure or quality of flow.
The applicant should understand that due to the involvement of other agencies and continuing
growth of the water system, the ability to provide service for future projects cannot be guaranteed
nor reserved. Connection to the CLTWater system is accepted on a first come, first served basis.
The applicant should understand that this letter is not authorization to construct or extend private
water or sewer systems, as the appropriate local or State permits are required prior to construction.
If the appropriate authorization to construct permits are not obtained construction has not started
within two (J years of issuance of this flow acceptance, and payment for any service connections
have not been received within two L) years of issuance of this flow acceptance letter, this flow
acceptance approval shall be rescinded, and a new flow acceptance request must be made.
The CAP analysis performed determines available capacity within the existing public gravity sewer
system. The developer is responsible for any additional private or public sewer infrastructure
required to convey flow from the proposed development to the existing public gravity sewer.
If you have any questions, please do not hesitate to contact me at [phone].
Sincerely,
Guillermo Anzola
Engineering Assistant
Charlotte Water 5100 Brookshire Blvd, Charlotte, NC 28216 chailottewater.org
16 Operated by the City of Charlotte

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CHARLOTTE EAST, NC
3019

Wbenesch
Transmittal Form
To
Alfred Benesch & Company
DECEIVERtNCU2359,Pedmeter Pointe Parkway, Suite 350
Charlotte, NC 28208
,JAN 2 8 2020 www.benesch.com
1'704-521-9880
WQROS 704-521-8955
MOORESVILLE REGIONAL OFFICE
NCDEQ — Water Quality Section Date: 01/27/2020 1 Job No. 17000318
Mooresville Regional Office Subject: Lansdowne Elementary School — Private
Attn: Barry Love Sanitary Sewer Permit Application — 15Y Submittal
610 E. Center Avenue
Mooresville, North Carolina 28115
® Mail ❑ Messenger
Delivery
WE ARE SENDING YOU
COPIES DATE
❑ Next Day Delivery
®Attached
DESCRIPTION
❑ UPS Ground
❑ Under separate cover:
❑ Other: Hand
1
01/24/20
Cover Letter for FTA 04-16
1
n/a
FTA Application Instructions / Checklist
1
n/a
Check No. 227110 (Review Fee)
1
01/22/20
FTA 04-16
1
08/23/19
Water and Sewer Flow Acceptance Letter
1
08/23/19
Flow Tracking for Sewer Extension Application (FTSE-10-18)
1
n/a
8.5 x 11 USGS Topo Map
1
n/a
8.5 x 11 Site Aerial Map
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑Submit copies for distribution
® As requested ❑ Returned for corrections ❑Return corrected prints
❑ For review and comment
Remarks: Barry, enclosed are application documents to permit approximately 595-LF of private sanitary
sewer to serve a new elementary school in Charlotte, NC. These items are being submitted for
your review and/or approval.
Please let us know if you have questions or require additional information.
cc: Brian Cannella, PLA
Sr. Project Manager
Signature
David Gusty, EI
Civil DesiEner
PS01-0998-06form

C) 0 �f1 05C�fI
Lansdowne Elementary School
Benesch Project #: 17000318
January 24, 2020
Alfred Benesch & Company
2359 Perimeter Pointe Parkway, Suite 350
Charlotte, NC 28208
www.benesch.com
P 704-521-9880
WQFtOS F 704-521-8955
MOORESVIL.LF REGIONAL OFFICE
RECEIVEDINC UENR/DWR
Private Sanitary Sewer Application Cover Letter
JAN ? 8 2020
This private sanitary sewer extension will serve a new elementary school building at 6400 Prett
Court in Charlotte, Mecklenburg County, North Carolina (Parcel ID: 18716209). The private
extension to be permitted will consist of (6) new manholes, 515-LF of new 8-inch PVC gravity
sewer, and 80-LF of 8-inch DIP gravity sewer. The proposed private gravity sewer main will
discharge to an existing public 8-inch PVC gravity service line in the Folger Drive right-of-way,
which is owned and operated by Charlotte Water (PWS ID# 0160010). Ultimately, wastewater
flows will terminate at the McAlpine Creek Wastewater Treatment Plant (Permit # NC0024970).
The total flow increase as a result of this project is approximately 13,500 gallons per day (gpd).
In addition to this cover letter, the following items are being submitted as part of the sewer
extension application package:
• Executed FTA 04-16
® Flow Acceptance Letter
® Flow Tracking / Acceptance Form (FTSE 04-16)
• Site Map — 8.5"xl 1" USGS Topographic Map
• 8.5"xl 1" Aerial Map
• Application Fee - $480

Central Files: APS _ SWP _
1 /31 /2020
Permit Number WQ0041445
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
barry.love
Coastal SWRuIe
Permitted Flow
13,500
Facility
Facility Name
Lansdowne Elementary School
Location Address
Owner
Owner Name
Charlotte -Mecklenburg Schools
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
Government - County
Owner Affiliation
Anthony B. Ansaldo
3301 Stafford Dr
Charlotte NC 28208
Scheduled
Orig Issue App Received Draft Initiated Issuance
Public Notice Issue Effective Expiration
1 /31 /2020 1 /28/2020
1 /31 /2020 1 /31 /2020
Regulated Activities
Requested /Received Events
Food preparation, other
Additional information requested
School
Additional information received
Wastewater collection
Outfall
Waterbody Name Streamindex Number Current Class Subbasin