WQ0041549_Application (FTSE)_20200306

State of North Carolina
PJXADepartment of Environmental Quality
Division of Water Resources
15A NCAC 02T.0300—FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dlvislon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: W Q 60 41 (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Boone (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: John Ward III per 15A NCAC 02T.0106(b)
Title: Manager
NC Department of
4. Applicant's mailing address: P.O. Drawer 192
Envlronmenial QUallty
Received
City: Boone State: NC Zip: 28607-
MAR 0 6 2020
5. Applicant's contact information:Regional
Lk
Phonenumber:[phone] Email Address: iohn.ward(tdtownofboone.net-
Winston-SalemyiI.
Office
PROJECT INFORMATION:
1. Project name: Home2 Suites by Hilton Sewer Main Relocation
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: Watauga
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.215860' Longitude:-81.671092°
5. Parcel ID (if applicable): 2910-18-8163-000.2910-18-9020.000;2910-18-9036-000:2910-28-0036-000
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Michael P. Trew License Number: 18186
Firm: Municipal Engineering Services Company, PA
Mailing address: 820-B State Farm Road
City: Boone State: NC Zip: 28607-_
Phone number: 828 262-1767 Email Address: mtrew(almesco.com
IV. WASTEWATER TREATMENT FACILITY (W WTF) INFORMATION:
1. Facility Name: Jimmy Smith Wastewater Treatment Facility Permit Number: NCO020621
Owner Name: Town of Boone
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than W WTF):
1. Pennit Number(s): WQNCO0 00621 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS_
Owner Name(s): Town of Boone
FORM: FTA 04-16 Pagel 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 NN/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 NN/A
3. If the Applicant is a Home/Property Owners' Association has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®NIA
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service N 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 : % Domestic/Commercial 100 % 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 N 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 ° °
No. of Units
Flow
Hotel without in -room cooking facilities
120 gal/room
105
12,600 GPD
gal/
GPD
gall
GPD
gall
GPD
gal/
GPD
gal/
GPD
Total
12,600 GPD
a See 15A NCAC 02T .0114(b). (d). (e)(1) and (e)(2) for caveats to wastewater design flow rates (Le., mini num 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.01141 shall be
determined using available flow data, water using futures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 12600 GPD (per 15A NCAC 02T.01141
➢ 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

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 376 SDR 26 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
V III. 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:
2. Approximate Coordinates (Decimal Degrees): Latitude: 0Longitude: - °
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(t)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(D & (e) ® Yes ❑ No
D 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(a) contains alternatives where separations in 02T,0305(t) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications weboaee
➢ If noncompliance with 02T.0305(f) or (2). 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 I SA NCAC 02B .02007 ❑ 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 pennits/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 "bigh-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 Permittingof f Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
N Yes ❑ No
If No, complete and submit the Variance/Altemative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the reauest is required prior to submittal of the Fast Track Application and supporting
documents.
2. Professional Engineer's Certification:
I, 1 V I I C -I' In e' I r- : I reyi( attest that this application for
(Professional Engineer's name from Application Item 1II.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 ISA NCAC 02T .0106(b):
V attest that this application for
(Signature Authority's narn title from Ap ' ation 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 $10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date: 7- Zp2j>
FORM: FTA 04-16 Page 5 of 5

r'',wS i") c? wa4ev
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Boone
Project Name for which flow is being requested: Home2 Suites by Hilton Sewer Relocat.
More than one FTSE nnay 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: Jimmy Smith Wastewater Treatment Facility
b. WWTP Facility Permit #: NC0020621
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
It. Percent of permitted flow used
All flows are in MGD
4.8200
0.2970
2.7900
0.0126
3.0996
64%
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 / pf),
Avg. Daily
Daily Flow,
Obligated Available
Number)
No.
MOD MGD
Flow, MGD
MOD
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):
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I John Ward III, Manager 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
VJ^
74 /2'fl 7-Z
Page 2 of 6
FTSE 10-18

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PROJECT NARRATIVE
Home2 Suites by Hilton
Sewer Main Relocation
Town of Boone, Watauga County, NC
This Fast -Track Sewer Application is for a total of 376 linear feet of new 8-inch PVC
gravity sanitary sewer main to relocate the existing gravity sanitary sewer main for the
development of a new hotel with 105 guest rooms at the corner of East King Street and
Hillside Drive in the Town of Boone. The new gravity sanitary sewer main will connect
to the existing sanitary sewer main via a doghouse manhole on the east side of the new
hotel building, run along the south side of the new building under the new parking lot
and re -connect to the downstream gravity sanitary sewer main via a doghouse manhole
on the west side of the new hotel building. The sewer service for the new hotel building
will connect to the relocated 8-inch gravity sanitary sewer main. The sewage flow
through the existing sanitary sewer main will not be disturbed in the doghouse
manholes until the new 8-inch gravity sanitary sewer main has been tested and
certified. Once the new gravity sanitary sewer main has been certified, the existing
sewage flow will be relocated through the new gravity sanitary sewer main and the
existing gravity sanitary sewer under the new hotel building footprint will be plugged
and abandoned in place.
The volume of wastewater calculated for comes from a total of 105 guest rooms for the
new hotel. The new hotel will generate a total daily wastewater flow of 12,600 gallons
per day, based upon a rate of 120 gallons per day per guest room.

LETTER OF TRANSMITTAL
DATE: 03-04-2020 TO: NCDEQ Division of Water Resources
Winston-Salem Regional Office*cq
450 W. Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
FROM: Michael P. Trew, PE NC Department of
Environmental Quality
RE: Fast -Track Sewer System Application for Received
Home2 Suites by Hilton Sewer Main Relocation, Boone, NC MAR 0 6 2020
Winston-Salem
PROJECT NO.: B18053.3 LaLLL Regional office
WE ARE SENDING YOU•
Copies
Date
No.
Descri tion
2
2-21-20
1-5
Fast -Track Sewer System Application (FTA 04-16
2
2-21-20
1-2
Flow Trackin /Acce tance Form FTSE 04-16
1
2-18-20
1
$480 Application Fee Check #1285
2
2-21 20
1
Project Narrative
2
2-17-20
1
USGS Color Topographic Ma
2
2-17-20
1
Street Level Ma
TRAnIcnnlTTIM-
"® FOR YOUR USE/FILE
® FOR APPROVAL ❑ AS YOU REQUESTED
® FOR REVIEW/COMMENT
❑ FOR SIGNATURE ❑ AS REQUESTED BY:
❑ FOR YOUR INFORMATION
❑ FOR
RFMARI(C-
This permit application is for the relocation of 376 linear feet of gravity sanitary sewer main
for the development of a new 105-room hotel in Boone, NC. See Project Narrative for further
details.
VIA: ® 1ST CLASS MAIL ❑ FAX ❑ HAND DELIVERED ❑ PICK UP ❑
COPY:
Transmitted from the Boone, NC Office of
Municipal Engineering Services Company, P.A.
License No. C-0281
820-B State Farm Road — Boone, North Carolina 28607
Phone [phone] — Fax [phone] — E-mail (general): mesco(cDboone.net