WQ0041550_Application (FTSE)_20200312

State 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 Number: vv (to be completed by DWR)
All items must be completed or the application will be returned
II0§_FlW_aK4FjWIII ►1V]t1uI:YY[QZ l
1. Applicant's name: City of Randleman (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: Zach Hewett per 15A NCAC 02T .0106(b)
Title: City Manager
NC Department of
4. Applicant's mailing address: 204 S. Main Street Environmental Quality
Received
City: Randleman State: NC Zip: 27317- MAR 2 2020
5. Applicant's contact information:
Phone number: 3( 36) 495-7500 Email Address: [e-mail] # . { Winston-Salem
4 a Regional Office
II. PROJECT INFORMATION:
I . Project name: Presnell St. W W Extension
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: Randolph
4. Approximate Coordinates (Decimal Degrees): Latitude: 39.82. Longitude:-79.80'
5. Parcel ID (if applicable): _
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Hiram J. Marziano License Number: 7707
Firm: Hiram J. Marziano, P.E.
Mailing address: P. O. Box 278
City: Asheboro State: NC Zip: 27204-0278
Phone number: (36 493-4450 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Randleman W W Plant Permit Number: NCO025445
Owner Name: City of Randleman
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than W WTF):
I. 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):
N 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))
I"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 02T.0114(f))
Daily Design Flow''b
No. of Units
Flow
Residential
360 gal/day
12
4,320 GPD
gall
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
4,320 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.01141 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 4 320 GPD (per 15A NCAC 02T .0l 14)
➢ 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 ol'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 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
l . 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)
➢ 15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
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
Drainages stems and interceptor drains
5 feet
Any swimming pools
l0 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ "*Stream classifications can be identified using the Division s N� C Surface Water Classifications webnaee
➢ If noncompliance with 02T.0305(f) or (a), 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 Permittin Branch
ranch
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: ETA 04-16 Page 4 of 5

R. 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?
® 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 supportine
documents.
2. Professional Engineer's Certification:
name trout Application item Ill.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 — 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:
SEA-1,
nor
3. Applicant's Certification per 15A NCAC 02T .0106(b):
that this application for
name &"title from Application It6M 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:
FORM: FTA 04-16 Page 5 of 5

1.3 s7L-O '�eC e l,vtA
�4015 ak
]vtsiort of WAter Kesourcta
State of North Carolina
Department of Envieortmental Quality
Division of Water Resources
Flow Tracking for Sewer Lxtensum Applications
(FTSiE? 10-1$)
Entity Requesting Allocation: Citg of Randleman
Project Name for which flow is being requested: Presnell St.W W Extension
More than one FTSB maybe requiredfor a singieprejed ifthe o"wer of the WW Pis not responsibleforalipamp
stations along the mate of theproposed uastewater.lfow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: RandlemanWWTP
b. W WTP Facility Permit #: NC0025445
Aft flows are in MGD
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the W WTP
e. W WTP facility's actual avg. flow
E Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
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 W WTp:
(A)
(S)
(C)
(D)=(D+C)
OR)-(A-D)
Design
Average
Approx.
Obligated,
Total
Pump
Pump
Daily
Current
Not Yet
cumin Flow
Station
Station
Firm
Flow**
Avg. Daily
Tributary
Plus
(Name or
Permit
Capacity,
*
(Flim / pf),
Flow,
Daily Flow,
Obligated
Available
Number)
No.
MGD
MGD
MGD
MGD
Flow
Capacity***
Main
WQCS00099
5.143
2.057
0.743
0
0.743
1.314
" 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
(po 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 W WTP where the Available Capacity is <_ 0:
Downstream Facility Name (Sewer): Deep River Clutfall
Downstream Permit Number: Unkn.
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Don Peeler 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.
of Signing
Page 2 of 6
FTSE 10-IS

�CONSULTING, CIVIL ENGINEER
HIRAM J.
ARZIANO PE
PO Box 278, Asheboro, NC 27204 - (338)4934460
hmamianoCIdedbiz.0 com
March 4, 2020
NC Department of Environmental Quality
Winston-Salem Regional Office
450 W. Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
NC Department of
Environmental Quality
Received
MAR 12 2020
t Winston-Salem
Regional Office
Re: City of Randleman - Randolph Co - Sewer Extension to serve Riverwalk Townhomes
Please find one (1) original & one (1) copy each of the following documents for your review, comments
and/or approval:
1. A description of the project requested for permitting (see below).
2. A $480.00 check.
3. FTA 04-16 Fast Track Sewer System Extension Application.
4. FTSE 04-16 Flow Tracking Acceptance Form
5. Site Maps:
a. Color Copy of Quad Sheet location from Randolph Co. GIS System.
b. Aerial photomap from County GIS map for site location.
c. Color Street view picture of the intersection accessing the proposed sewer line.
Project Description: The City of Randleman is proposing to provide water & sewer service to a new
duplex, townhome development entitled Riverwalk Townhomes. The townhomes will be rental units
owned by the developer. To provide the service, the city will need to construct about 376 If of 8" PVC
(DR35), gravity sewer line and one (1) 48" diameter manhole along the north right-of-way of Pre§nell St.
The new sewer line will terminate at an existing manhole (brick) located in the city's existing 12"
diameter outfall which parallels the Deep River and discharges into the existing SE Regional WWPS. The
WWPS pumps directly to the existing WWTF. The new sewer line will have a slope of 7.98% and an
average depth of bury of about 5-feet. When completed, the new sewer line will provide service to 6 each,
duplex townhome facilities. The additional sewer flow will be 100% residential. The total number of
individual units would therefore be 12 and include 3-bedrooms each which would generate an estimated,
daily sewer flow of 4,320 gallons/day based upon current NCDEQ flow estimating practice. The existing
downstream sewer has the capacity to accept the additional sewer. There have been no overflow events
on the affected, existing sewer lines and the existing WWPS is less than 50% utilized at this time.
The proposed Riverwalk Townhomes on -site sewer collection facilities will consist of 4" diameter service
laterals (sch40 PVC) to each unit (12 total). The service laterals will tie into 6" diameter Collection mains
(2 branches of PVC, sdr35 pipe). The collection main will tie in the City's new sewer line described above
at the uppermost manhole located near the street right-of-way. Eight (8) units will tie into one branch of

the on -site collection main and four (4) units will tie into and intersecting branch. The minimum slope of
the 6" collection system is designed to be 1.27% which allows the system to have a minimum Flow
capacity of about 205 gallons per minute. The 6" collection system will include 4" cleanouts space about
75' on -centers and constructed in accordance with the NC Building Code. The on -site sewer facilities are
planned to remain as private sewer, maintained by the developer and are not included with the FTA 04-
16 Application Form.
Please review the enclosures and let us have your comments and/or approval. If you require additional
information, please let me know.
Thank you for your review.
Sincerely,
�..GC0.Nv r. f i%/Cy70
Hiram J. Marziano
Encl.
cc: Mr. Zach Hewett, City Manager
Mr. Don Peeler, City DPU
Page 12

m

E0

Hiram J. r�rx' cntzourin
66.1203.531
uE a '1/1/11/2
PAY TO THE
ORDER OF NCDEQ $ *480.00
a
Four Hundred Eighty and 00/100'*"""'"' DOLLARS €
NCDEQ 8
MEMO A AUIH RIZED NflE
FTSE Appl: City of Randleman-Presnell St. WW Ext

Hiram J. Marziano
NCDEQ
5000 - PERMIT FEES
Checking at Bank of FTSE Appl: City of Ran(
3/11 /2020
1394
480.00
480.00