WQ0041587_Application (FTSE)_20191206

Green Mountain Engineering, PLLC Civil Engineering Consultants
NC Department of
Environmental Quality
TfAg1 Received
DEC 0 6 2019
To: NCDEQ — Water Quality Section
Winston-Salem
Address: 450 W. Hanes Mill Rd — Suite 300., Winston-Salem, NC 27105
From: Jordan D. Young E.I., Green Mountain Engineering, PLLC
Date: 2019-December-4
Re: Meadow Valley -Phase 5
Messages
We have addresses you comments from November 1". Our responses are below in green.
Failure to completely and/or correctly answer al sections of the application form
FTA. Section VI (2) has been updated to show "N/A" as the developer is not the
client. Sections IX (1) has also been updated indicating that the system complies
with "Minimum Design Criteria."
Failure to submit a complete Planning assessment Addendum in respect to
Riverdale Pump Station, in which available capacity is reportedly <0 gallons per
day. The City of High Point has provided information on the upgraded Riverdale
Pump Station with the approval signature of Terry Houk. See page 3 of 6 of the
FTA.
Failure to submit a planning assessment addendum in respect to Waterview pump
station, in which available capacity is reportedly <0 gallons per day. The City of
High Point has provided information on the Waterview pump station upgrade to
provide additional capacity. See page 3 of 6 of the FTA.
Included are one (1) original and one (1) copy of the previously submitted Application
Package, and one (1) check for $480.00.
Please let us know if you have any questions or require additional information. I can be
reached via email [e-mail] or by phone [phone]) at
your convenience.
Best Regards,
Jordan D. Young, E.I.
Green Mountain Engineering, PLLC
7A Wendy Court - Greensboro, NC 27409 - [phone]

Green Mountain Engineering, PLLC Civil Engineering Consultants
Project Narrative N C Department of
For Environmental Quality
Meadow Valley Subdivision — Phase 5 Received
Located in High Point, NC CCT 3 0 2019
October 2811, 2019
N Winston-Salem
To Whom It May Concern: Regional Office
This application is being submitted to obtain permitting for approximately 1,7351f of 8
inch public gravity sewer extension located on St. John's Street and Brayden Drive. The
aforementioned extension is being done in Phase 5 of Meadow Valley subdivision
located in the City of High Point, to provide service to 38 new lots in said phase. This
application is being submitted separately from the privately -owned force main and pump
station, that is also proposed in the Meadow Valley Phase 5 subdivision.
The design and plan review was done in accordance with NCDEQ's Gravity Sewer
Minimum Design Criteria and the City of High Point standards and specifications. Work
on the sewer installation is planned to begin in Fall 2019.
Please contact me if you require additional information. You can reach me via email
Jordancgszreenmountainengineers.com or by telephone [phone] at your convenience.
Respectfully submitted,
Jordan D. Young E.I.
Green Mountain Engineering, PLLC
7A Wendy Court - Greensboro, NC 27409 - [phone]
Page 1 of 1

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: V1 Q V0 (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of High Point (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 N C Department of
4. Applicant's mailing address: 211 South Hamilton Street Environmental Quality
Received
City: High Point State: NC Zip: 27261-
5. Applicant's contact information: CCT 3 0 2019
Phone number: 336) 883-3111 Email Address: terrv.houknghi6pointnc.gov Winston-Salem
II. PROJECT INFORMATION:
Regional Office
1. Project name: Meadow Valley- Phase 5
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: Guilford
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.037347' Longitude:-80..02933°
5. Parcel ID (if applicable): 6893448523 & 6893542546
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Vincent C. Townsend, P.E. License Number: 23951
Firm: Green Mountain Engineering PLLC
Mailing address: 7A Wendy Ct.
City: Greensboro State: NC Zip: 27409
Phone number: 336) 294-9394 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (W WTF) INFORMATION:
1. Facility Name: Eastside Treatment Plant Permit Number: NCO024210
Owner Name: City of High Point
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: ETA 04-16 Page I 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 0 % Commercial
0 % Industrial (See 15A NCAC 02T .0103(20))
"Is there a Pretreatment Program in effect? ❑ Yes N No
6. Hasa flow reduction been approved under 15A NCAC 02T .0l 14(fl? [-]Yes N 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''
No. of Units
Flow
270 gal/day
38
10,260 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
]0,260 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: l0 260 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" 1,735 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
I. 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 contains minimum separations that shall be provided for sewers stems:
Setback Parameter*
Se aration 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 buildinp 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 weboage
➢ 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
➢ Seethe 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 -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?
JK Yes ❑ No
If No, complete and submit the Variance/Altemative 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:
that this application for
(Professional Engineer's name from Application Item
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:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
attest that this application for
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 $10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date: Zdr23��
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Traeldug for Sewer Extension Applications
UlvlAlon of Watel kesouf(( (FTSE 10-18)
Application Number; 2019-139
Entity Requesting Allocation: Shugart Management, Inc (Public)
Project Name for which flow is being requested: Meadow Valley Subdivision - Phase 5
More than one FTSE may be regrdred for a single project if the owner of the IVIVTP is not responsible for all ptunp
stations along the route of the proposeAwrtstetvaterfloly.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a.
W WTP Facility name: Eastside W WTP
b.
W WTP Facility Permit H: NC-0024210
Aff lows are In MGD
c.
W WTP facility permitted flow:
26.0000
d.
Estimated obligated flow not yet tributary to the W WTP:
0.7521
e.
W WTP facility's actual average flow:
15.5833
f.
Total flow for this specific request:
0.0100
g.
Total actual and obligated flows to the facility:
16.3454
It.
Percent of permitted flow used:
62.87%
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List primp stations located between the project connection point and the W WTP.
(A)
(D)
(c)
(D)-(a+C)
(E)=(A-D)
Pump
Pump
Firm
Design
Approx.
Obligated,
Total Current
Available
Station
Station
Capacity'
Average
Current
Not Yet
Flow Plus
Capacity'
(Name or
Permit
Daily Flows
Avg. Daily
Tributary
Obligated
Number)
Number
(FimtpQ,
Flow,
Daily Flow,
Flow
MGD
MGD
MGD
MGD
MGD
hIGD
W.umew
W00024100
2.2176
0.8370
0.5101
0.1164
0.9365
.0.0496
Riv.A.1. W00001J92 :1.2093
WA WA
eWA #WA MA
I.I6)7 11.3996
IWA IWA
IWA MA
0.9J46
IWA
WA
MA WA EWA IWA QUA IWA
• The Firm Capacity (design fioly) clear pump statlon Is defined ns the nmxlmum pumped now that
can be achieved with the largest pump taken out ofservice.
Design Average Flow Is the firm capacity of the pump slalion divided by llte peaking factor (po not
less Hiatt 2.5, per Section 2.02(A)(4)(c) of the Mlnhmmn Design Criteria.
"•" A Planning Assessment Addendum shall be attached for each pump station located between the
proJeet comealion point and the W WTP where the Available Capacity lss 5 0.
Downstream Paci lityName (Sewer):
Downstream Permit Number:
9.1341
IWA
/WA
IWA
WA
WA
WA
Page 1 of 6 FTSE 10.18

III. Certification Statement
I, Terry Houk 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 an 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 phis all attached planning assessment addendurns 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.
SigningOJJio(INSlgr fore
PdBNG SEP✓/cCs
Title ofSigning O]Tcial
10/9/2019
Date
Pago 2 of 6 FTSE 10-18

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available
Capacity is < 0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
% and MGD of the Available Capacity (E) in Pump Station
and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; and/or
d. The following applies
The City of High Point met with NCDEQ on February 9, 2017 to discuss the flow allocation
to Riverdale Pump Station while the station was being studied for an additional increased
capacity of 2.0 MGD. As a result of the meeting, the City and DEQ agreed that the current
average daily flow for the Riverdale Pump Station was 8.4 MGD. The City of High Point
has contracted with 3 engineering firms to expand the capacity of the Riverdale
Pump Station to 30 MPD. The pump station upgrades are anticipated to be completed
December 2019.
The Skeet Club DOT widening project includes upsizing a mile portion of existing
Waterview 10" force main to 16". This will increase one pump capacity to over 1800 gpm
and the station firm capacity to over 2500 gpm. Construction of the 10" to 16" force main
upgrade is almost complete and it should be placed in service by the end of November 2019.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to
allow this flow to be permitted, without a significant likelihood of over -allocating capacity in the
system infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste
disposal system.
Signing
Date
Page 3 of 6
FTSE 04-16

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