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HomeMy WebLinkAboutWQ0040751_Application (FTSE)_20200310State of North Carolina DWR Department of Environmental Quality Division of Water Resources 15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION Application 007i 'm6d(kttr-ran pp (to be completed by DWR) All items must be comnleted or the application will be returned I. APPLICANT INFORMATION: 1. Applicant's none: City of High Poin[ (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: Terry Houk per 15A NCAC 02T .0106(b) Title: Public Services Director 4. Applicant's mailing address: 221 S. Hamilton Sheet, Suite 206 N C Department of Environmental Quality City: High Point State: NC Zip: 27261- Received 5. Applicant's contact information: MAR 10 2020 Phone number: (336) 883-3111 Email Address: teEa.houk .highpointnc.gov Winston-Salem II. PROJECT INFORMATION: Regional Office I. Project name: Pegg Road Development 2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project If a modification, provide the existing permit number: WQ0040751 and issued date: May 14, 2019 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: 36.0687' Longitude:-79.9708' 5. Parcel ID (if applicable): 7814350147 (or Parcel ID to closest downstream sewer) III. CONSULTANT INFORMATION: 1. Professional Engineer: Wilbur E. Chtistmas License Number: 023552 Firm: Stimmel Associates, PA Mailing address: 601 N Trade St., Suite 200 City: Winston-Salem State: NC Zip: 27101 Phone number: 336) 723-1 677 Email Address: wchristmas@stinunelpa.com IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: 1. Facility Name: High Point Eastside W WTF Owner Name: City of High Point Permit Number: NCO024210 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 1 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 NN/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 N Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment) 5. Nature of wastewater : 100 % Domestic/Commercial 0 % Commercial 0 % Industrial (See I SA NCAC 02T .0103(201) "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, nrovide a copv of flow reduction approval letter 7. Summarize wastewater generated by project: Establishment Type (see 0IT.0114(1)1 Daily Design Flow ° ° No. of Units Flow Warehouse 100 gal/Bay 45 4500 GPD gaV GPD gal/ GPD gav GPD gal/ GPD gal/ GPD Total 4500 GPD a See 15A NCAC 02T .0114(bl. (d). (e)(I) 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.01141 shall be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data. 8. Wastewater generated by project: _ 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. Stmmiarize gravitysewer to be permitted: Size (inches) Length (feet) Material 8 1334 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: 0Longitude: - ° 3. Design flow of the pump station: _ millions gallons per day (firm capacity) 4. Operational point(s) of the pmmp(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 G. 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)(13)_ ➢ 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 timeftantes, 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(f) & (g) ➢ 15A NCAC 02T.0305(D contains minimum separations that shall be 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 trains 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-1 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(g) contains alternatives where separations in 02T.0305(t) cannot be achieved. ➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webnage ➢ If noncompliance with 02T.0305(fl 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 ➢ 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 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-mmdlis and inspections documented per 15A NCAC 02T.0403(a)(5) or the pernnitee'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. Annroval of the request is required prior to submittal of the Fast Tracts Application and supporting documents. 2. Professional Engineer's Certification: that this application for Engineer's name fi•onm 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. 1 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 tip to $25,000 per violation. North Carolina Professional Engineer's seal, signature, and date: Applicant's Certification per 15A NCAC 02T .0I06(b): that this application for name 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 attachmments 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 tine 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 tip to $25,000 per violation. Signature: � A- 4� Date: 3�'llLa2o FORM: FTA 04-16 Page 5 of 5 Stimmel Associates, PA EXHIBIT Stimmel Landscape Architecture Civil Engineering Land Planning 601 N. Trade Street date: 03/13/2019 lob #: 18-164 Winston° Winston Belem, Nc project: Pegg Road Development 27101-291s scale: 1" =loon' sheet 1 of 1 P: 336.723.1067 F: 336.723.1069 description: Sanitary Sewer Extension USGS Guilford NC Quadrangle SCALE: 1 " = 1000' 1000 0 1000 North St i m m e l Trade Street Suite 200 Landscape Architecture Winstt on Salem, NC Winston 27101-2916 Civil Engineering Stimmel Associates, PA Land Planning P; 336.723.1067 r: 336.723,1069 EXHIBIT date: 03/13/2019 lob #: 18-164 project' Pegg Road Development scale: 1" = 600' sheet 1 of 1 description: Sanitary Sewer Extension SCALE: 1 " = 600' 600 0 600 North 11) f 110030637110 1:0531011211:00051 "9'a94811' \,)QC6 QC�sI ` rn cyl CGv A� 7101 �'� stimmel 601N.TRADE STREET SUITE 200 WINSTtimmelaxorn 36.7 www.stimmelpa.com 336.723.1067 NC Department of Environmental Quality Received March 10, 2020 NCDENR DWR —Winston-Salem Regional Office 450 W. Hanes Mill Road, Suite 300 Winston-Salem, NC 27105 Attn: Mr. Justin Henderson Re: Permit #WQ0040751 Fast -Track Sewer Application -Modification Pegg Road Development High Point, NC Dear Mr. Henderson: MAR 10 1010 Winston-Salem Regional Office The sewer line in the existing permit referenced above was extended to Pegg Rd. at the request of the City of High Point to provide additional access to surrounding properties. This resulted in the sewer length exceeding the 10% allowed in the existing permit. We are requesting a modification to the existing permit to increase the permitted linear feet of sewer from the original 1175 LF to 1334 LF. There are no other modifications to the original FTA and no modifications to the FTSE. The following information is included for your review and approval: # Cooies Description 2 Fast -Track Application Forms 1 Review fee check in the amount of $480 2 Permit #WQ0040451 2 Site Map on 8.5" x 11" USGS Quad Map 2 Site Map on 8.5" x 11" Google Earth Image If you have questions or need additional information, please contact me at (336) 970-0320 or wch ristmas(&stimmelpa.com. Sincerely, Wilbur E. Christmas, PE Project Engineer Attachments Cc: File LANDSCAPE ARCHITECTURE CIVIL ENGINEERING LAND PLANNING