WQ0041563_Application_20200326

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State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
� . r ib, +f,5�.3
Application Number: 'tl �-f (to be completed by Dwx) REGEIVEDINCt)ENROWR
All items must be completed or the application will be returned
WQROS
1. APPLICANT INFORMATION: MOORESVILLE REGIONAL OFFICE
1. Applicant's name: East Lincoln Fire Department (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: James Martin per 15A NCAC 02T .0106(b)
Title: Chairman
4. Applicant's mailing address: 406 S. Pilot Knob Road
City: Stanley State: NC Zip: 28164-
5. Applicant's contact information:
Phone number: (70 , &5�1 170,3 - mail Address: .3mtry if\@OUXS -iAt-!Ak
IL PROJECT INFORMATION:
1. Project name: East Lincoln Fire Department
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: Lincoln
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.4557' Longitude:-81.0437'
5. Parcel ID (if applicable): 50192
(or Parcel ID to closest downstream sewer)
I11. CONSULTANT INFORMATION:
1. Professional Engineer: Dan Brewer, P.E. License Number: 17582
Firm: ESP Associates, Inc.
Mailing address: 20484 Chartwell Center Dr, Suite D
City: Cornelius State: NC Zip: 28031-
Phone number: [phone] Email Address: dbrewernn•espassociates.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Killian Creek WWTP Permit Number: NC 0088722
Owner Name: Lincoln County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00149
Owner Name(s): Lincoln County
FORM: FTA 04-16 Pagel of 5

V1. 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: HOA) 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))
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(fl? [:]Yes ®No
➢ If Yes, provide a coat/ of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow 1,1
No. of Units
Flow
Fire or Rescue with on -site staff
50 gal/Person per shift
5
250 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
250 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: 250 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
211
PVC
8
111
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 (Puma 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)
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided 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 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(o contains alternatives where separations in 02T.0305(f) cannot be achieved.
)0, **Stream classifications can be identified using the Division's NC Surface Water Classifications webpaae
➢ If noncompliance with 02T.0305( 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 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: 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, D a ft F. 8re w e-r attest that this application for
(Professional Engineer's name from Application Item III.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 15A NCAC 02T .0106(b):
I,
s name & title from Application Item I.3.)
.�`Q. FSSS1 9
`17582
AIG
11019020
attest that this application for
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 143-215.613, 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.
Signature: Date:
FORM: FTA 04-16 Page 5 of 5

Tuvia, Ori A
From: Charles S. King <[e-mail]>
Sent: Thursday, March 26, 2020 4:32 PM
To: Tuvia, Ori A; 'Dan Brewer'
Subject: RE: [External] RE: east Lincoln fire station
Attachments: FTSE-10-18_East Lincoln VFD.pdf
W
Please see the updated page 1 that is attached. Please let me know if you need anything else.
Chuck Icing
Engineering Associate
Lincoln County Public Works
115 W. Main St.
Lincolnton, NC 28092
Office: [phone]
Fax: [phone]
[e-mail]
From: Tuvia, Ori A [mailto:[e-mail]]
Sent: Thursday, March 26, 2020 3:37 PM
To: Charles S. King <[e-mail]>; 'Dan Brewer' <[e-mail]>
Subject: RE: [External] RE: east Lincoln fire station
Chuck,
I'm just looking to see somehow that the flow has been added to your allocated flows.
Sincerely,
Ori
From: Charles S. King [mailto:cking@lincolncounty,org]
Sent: Tuesday, March 24, 2020 2:56 PM
To: 'Dan Brewer' <dbrewerCc es associatgs.com>; Tuvia, Ori A <[e-mail] >
Subject: RE: [External] RE: east Lincoln fire station
W

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: East Lincoln Fire Department
Project Name for which flow is being requested: East Lincoln Fire Department
More than one FTSE may 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 wastewater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Killian Creek WWTP
b. WWTP Facility Permit #: NC 0088722
All flows are in MGD
c.
WWTP facility's permitted flow
3.35
d.
Estimated obligated flow not yet tributary to the WWTP
1.512010
e.
WWTP facility's actual avg. flow
1.254
f.
Total flow for this specific request
0.000250
g.
Total actual and obligated flows to the facility
2.766
h.
Percent of permitted flow used
82.57
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:
Pump
Station
(Name or
Number)
37
Pump
Station
Permit
No.
WQ0032852
Firm
Capacity,
MGD
7.776
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Design
Average
Approx.
Obligated,
Daily
Current
Not Yet
Total Current
Flow**
Avg. Daily
Tributary
Flow Plus
(Firm / pf),
Flow,
Daily Flow,
Obligated
Available
MGD
MGD
MGD
Flow
Capacity***
3.110
0.883
1.181541
2.064
1.0445459
* 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): Lincoln County Sewer System
Downstream Permit Number: WQCS00149
Page 1 of 6
1 1'SI 10-18

III. Certification Statement:
I Donald V. Chamblee 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 }Offficial Signature j Date
Title of Signing Official
Page 2 of 6
FTSE 10-18

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cow COLS
COUNTY OF LINCOLN, NORTH CAROLINA
1 1 5 WEST MAIN STREET, 2ND FLOOR CITIZENS CENTER, LINCOLNTON, NORTH CAROLINA
�r9 cnno� 28092
ItECEfVED/NCONRlD► R
DEPARTMENT OF PUBLIC WORKS MAR 2320
PHONE [phone]
WQROS
WWW. LI NCOLN COU NTY.ORG FAX [phone] MOORESVILLE REGIONAL OFFICE
.ORG
3/12/2020
East Lincoln Fire Department
Attn: James Martin
406 S. Pilot Knob Rd,
Stanley, NC 28164
RE: East Lincoln Fire Department
Mr. Martin,
This letter is provided in response to your request, dated March 3, 2020, for flow acceptance of the
wastewater treatment infrastructure (the "System") for the East Lincoln Fire Department (the "Project").
Lincoln County (the "County") has the actual average daily flow capacity at its Killian Creek Wastewater
Treatment Plant to treat the domestic wastewater as requested, and does conditionally grant approval for
the Project, subject, however, to the terms and conditions below:
1. The amount of flow requested for the Project is for 1 lot with a total flow of Two Hundred and
Fifty (250) gallons per day and
2. For the NCDEQ Permits, the receiving sewer treatment facility is the Killian Creek WWTP,
Permit #NC 0088722. The sewer collections facility is the Lincoln County Sewer System, Permit
#WQCS 00149; and
3. The County shall not be named as the Permittee on NCDEQ system applications. You must
make the application to NCDEQ in your own name for the System; and
4. Acceptance of the System and transferal of the System to the County is subject to the
following:
a. A complete final inspection and approval of the System by the County, and receipt of other
applicable documentation requested by the County; and
b. Approval of the System by NCDEQ, and proof provided to the County of a valid permit issued
by NCDEQ with an Authorization to Construct (ATC); and
c. Initiating construction of the Project within two years of the date of this conditional approval.
You must notify the Lincoln County Public Works Department in writing when construction of
the Project is initiated; and
d. The County continuing to have actual average daily flow capacity to treat the domestic
wastewater as requested at the time all other conditions precedent have been satisfied.
This acceptance and allocation of flow shall only be effective upon your compliance with all of
the above terms and conditions and the County providing an acknowledgment that you have complied
with all of the above terms and conditions.

Included in this mailing is the Flow Tracking/Acceptance for Sewer Extension Permit
Applications (FTSE — 04/16) with the County's portion completed.
If you have any questions, please do not hesitate to call me at 704-736-8497.
Sincerely,
r f'
i-t f
Chuck King
Engineering Associate
Cc: File

AL
ESP
NCDEQ/DWR
Water Quality Section — Wastewater Branch
PERCS UNIT
1617 Mail Service Center
Raleigh, NC 27699-1636
SUBJECT: East Lincoln Fire Department
Application for Sewer Extension
Lincoln County, NC
Ladies and Gentlemen,
January 8, 2020
RECEIVEDINCDENR/DWR
NIAR 18 2RO
WQROS
MOORESVILLE.. REGIONAL OFFICE
ESP Associates has prepared the attached Fast -Track Application for Gravity Sewer and
Force Main. Included in the application is listed below
• Fast -Track Sewer System Extension Application (FTA 04-16) with
documentation
• A check for the application fee in the amount of $480
• Flow Tracking/Acceptance for Sewer Extension Application (FTSE 10-18)
• Site Maps
In summary, the project involves proposed 8-inch gravity sanitary sewer to serve a
proposed emergency services facility. The proposed sewer will discharge into the
existing sewer stub on Ingleside Farm Road Subdivision — Phase 5, ultimately
discharging into the existing pump station. The proposed flow for the project is 250 gpd.
Please do not hesitate to contact me if you have any questions or comments.
Sincerely,
ESP Associates, Inc.
Dan Brewer, P.E.
Senior Project Manager
20484 Char h� eII Center Drne • �IliI(ID - Cornelius, W 28031
1.800.960.7'117 704.990.9428 - fax 704.S83.4950
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