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HomeMy WebLinkAboutWQ0029173_Application_20050808FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE t State of North Carolina Department of Environment and Natural Resources RECENED 1. Division of Water Quality FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS ^1P _ �L` C 11 1 F REGIONG� n�(,E (Pressure sewers systems are not to be included as part of this application package) INSTRUCTIONS: Indicate that you have included/addressed the following list of required application package items by checking the space provided next to each applicable item. Failure to submit all required items will lead to your application being returned as incomplete. This form may be photocopied for use as an original. 01. Application Form - Submit one original and one copy of the completed and appropriately executed application form. Any changes to this form will result in the application being returned. The Division of Water Quality (Division) will only accept application packages that have been fully completed with all applicable items addressed. You do not need to submit detailed plans and specifications unless you respond NO to Item B(12). ® It. Application Fee - Submit a check in the amount of $400 made payable to: North Carolina Department of Environment and Natural Resources (NCDENR). Checks shall be dated within 90 days of application submittal. ❑ III. Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN) which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities Commission's Public Staff that states that an application for a franchise has been received, that the service area is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the CPCN or letter must match that provided in Item A(2a) of this application. ❑ IV. Operational Agreements — Submit one original and two copies of a properly executed operational agreement if the sewer extension is permitted by a private applicant and will be serving residential or commercial lots (e.g., houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If the applicant is a homeowners' association, use Form HOA 02/03. If the applicant is a developer, use Form DEV 02/03. EVEN IF THE PROJECT WILL BE TURNED OVER TO A MUNICIPALITY, FORM DEV 02/03 IS REQUIRED. ® V. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTF is different from the applicant, submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF, if different. Flow acceptance letters must contain the following minimum information: applicant and project name, amount of flow accepted, and name and permit number of the receiving sewers/WWTF. The flow acceptance must not expire prior to permit issuance and must be dated less than a year prior to the application date. Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific flow acceptance letter_ ® VI. Map — Submit an 8.5-inch by 11-inch COLOR copy of the portion of a 7.5-minute USGS Topographic Map along with this form. The map should identify the entire project area location as well as the closest downslope surface waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified location of the sewer line and pump stations, and be of clear and reproducible quality. For instance, if the project involves 4 miles of interceptor sewer that traverses over or near several different waterbodies (or counties, basins, etc.), the map should have location ID's shown for each different waterbody (where the sewer line is within 100 feet of such waterbody - see Instruction Vll)_ This location ID is self chosen and used to cross reference the location in Section C of the permit application. ❑ VII. Stream Classifications — Section C • If any portion of the project is within 100 feet of any down slope surface water, Section C must be completed for the pertinent sections. • If the entire project area is a minimum of 100 feet away from any down slope surface waters BUT there is a pump station involved where a history of power outage is to be used to provide adequate design storage instead of dual feed or permanent or portable generator, Section C must be completed to demonstrate that the closest down slope surface water is Class C (see 15A NCAC 2H .0219(h)(3)(D)). • Use the guidance document entitled, "Determining Watershed Classifications for Form FTA 02/03 (Fast -Track Sewer Systems)" available from or by contacting the appropriate regional nffir:a FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 2 ❑ Vlll. Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC 01C], this application can not be used. Send the project application on Form PSFMGSA 10/99 to the PERCS Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. Applications can not be accepted until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS) has been issued. A copy is to be submitted with that permit application. ® IX. Certifications — Section D The application must be certified by both the applicant and a North Carolina Registered Professional Engineer (PE). The applicant signature must match the signing official listed in Item A(1 b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC 2H .0200, the Gravity Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project. Certification by a PE who is unfamiliar with these documents is subject to NC Board referral. ® X. Downstream Sewer & Wastewater Treatment Plant Capacity The applicant has assured downstream pipe, pump station and treatment plant capacity. The addition of new sources of wastewater from this project has been evaluated along the route to the receiving treatment plant. The flow from this project will not cause capacity related sanitary sewer overflows or overburden any downstream pump station en route to the receiving wastewater treatment plant. If the applicant is not the owner of the downstream sewer or receiving treatment plant, submittal of flow acceptance letter(s) indicates that owner has adequate capacity and will not violate G.S. 143-215.67(a). THE COMPLETED FTA 02/03 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING DOCUMENTS AND $400 FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE REGIONAL OFFICE ADDRESS COUNTIES SERVED Asheville Regional Office 2090 US Highway 70 Avery, Buncombe, Burke, Caldwell, Swannanoa, North Carolina 28778 Cherokee, Clay, Graham, Haywood, (828) 296-4500 Henderson, Jackson, Macon, Madison, (828) 299-7043 Fax McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Yancey Fayetteville Regional Office 225 Green Street Suite 714 Anson, Bladen, Cumberland, Hamett, Fayetteville, North Carolina 28301 Hoke, Montgomery, Moore, Robeson, (910) 486-1541 Richmond, Sampson, Scotland (910) 486-0707 Fax Mooresville Regional Office 610 E. Center Avenue, Suite 301 Alexander, Cabarrus, Catawba, Mooresville, North Carolina 28115 Cleveland, Gaston, Iredell, Lincoln, (704) 663-1699 Mecklenburg, Rowan, Stanly, Union (704) 663-6040 Fax Raleigh Regional Office 1628 Mail Service Center Chatham, Durham, Edgecombe, Franklin, Raleigh, North Carolina 27699-1628 Granville, Halifax, Johnston, Lee, Nash, (919) 571-4700 Northampton, Orange, Person, Vance, (919) 571-4718 Fax Wake, Warren, Wilson Washington Regional Office 943 Washington Square Mall Beaufort, Bertie, Camden, Chowan, Washington, North Carolina 27889 Craven, Currituck, Dare, Gates, Greene, (252) 946.6481 Hertford, Hyde, Jones, Lenoir, Martin, (252) 975-3716 Fax Pamlico, Pasquotank, Perquimans, Pitt, Tyrrell, Washington, Wayne Wilmington Regional Office 127 Cardinal Drive Extension Brunswick, Carteret, Columbus, Duplin, Wilmington, North Carolina 28405 New Hanover, Onslow, Pender (910) 395-3900 (910) 350-2004 Fax Winston-Salem Regional Office 585 Waughtown Street Alamance, Alleghany, Ashe, Caswell, Winston-Salem, North Carolina 27107 Davidson, Davie, Forsyth, Guilford, (336) 771-4600 Rockingham, Randolph, Stokes, Surry, (336) 771-4631 Fax Watauga, Wilkes, Yadkin For more information, visit our web site at: htfp://h2o.enr.state.nc.us/pencs/ 08/09/2005 09:49 9198518393 GREENHORNE & O'MARA PAGE 02/02 FAST-TPtACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS E 3 USE THE TAB KEY TO MOVE FROM FIELD TO FIELOI -_— Application Numb- (to be completed by DQ) 1. Owner. ----- 1 a- Directorate of Public Works'' Full Legal Name (company, municipality, HOA, utility, etc.) O- 1 b. Gregory G. Bean Director of Public Works Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officialsl) 1c. The legal entity who will own this system is: ElIndividual Federal ❑ nty ❑ Private Partnership Corporation ❑ Other�sper(yL _ O' 1 d. Building 3-1631, Butner Road 1 e. Ft. Bragg W Z_ Mailing Address City - ___ �.__......__._......__._.... __....__...__ . _._.. --.�__ ..—.... __.., _—..._. if_ NC 1g. 28310-5300 State Zip Code .0 •.. ~ 1h. 910 398-4009 11. 910 A32-6908 1j. gregory.g.beanOus.ayny.mil Facsimile E-mail Q- Telephone V .. 2. Project (Facility), Information: d a. SOF ROWE TRAINING COMPLEX 2b. Richmond lo. Brief Project Name (permit will refer to this name) County Where Project is Located _..__.....__.._.__.....�__......._......._._.._.....__......_....._......—........_.-_....._ ... —_...........___ 3. Contact Person: .........._ -_- —. Richard Weeks Name and Affiliation of Someone Who Can Answer Questions About this Application b_ 910 432-7277 Ise. richard.weeks®us.arm .mil Phone Number E-mail 1. Project is N New ❑ Modification (of an existing permit) If Modification, Permit No.: - For modifications, attach a separate sheet clearly explaining the mason for the modification (i.e. adding another phase, changing line size/length, etc.). Only Include the modified information in this permit application - do not duplicate project information in B(7) and B(10.11) that has already been included in the original permit. . Owner is N Public (skip to Item 8(3)) ❑ Private (go to Item 2(a)) a. If private, applicant will be: 2b. If sold, facilities owned by a (must choose one) ❑ Retaining Ownership (i.e. store, church, single office, etc.) or Q Public Utility (Instruction III) Z' [I Leasing units (lots, townhomes, etc. - skip to Item B(3)) ❑ Homeowner Assoc./Developer (Instruction IV) ❑ Selling units (lots, townhomes, etc. - go to Item B(26n H Moore County cOwner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project Moore Coun Water Pollution Control Facilityb. NC 0037508 Name of WWTF WWTF Permit No. Qa. W a. Ft Bra b. 8-1nch Gravity 5c. Owner of Downstream Sewer Receiving Sewer Site Force Main Permit Number of Downstream Sewer (it known) F- . The origin of this wastewater is (check all that apply): ❑Residential Subdivision Car Wash Q ElApartments/Condominiums Mobile ❑ Mobile Home Park ❑Institution I 100 % Domestic/Commercial ❑ School ❑ Restaurant El ❑ Nursing Home % Indust Hal ❑ Office IS Other (specify): Military Ready -State Other (specify): Facilities 7. Volume of wastewater to be allocated for this particular project: 9000 gallons per day 'Do not Include previously permitted allocations 8. If the permitted flow is zero, indicate why: ❑ Interceptor Line - Flow will be permitted in subsequent permits that connect to this line ❑ Flow has already been allocated in Permit No. ❑ Rehabilitation or replacement of existing sewer with no new flow expected FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 4 9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H .0219(I) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than that in 15A NCAC 2H .0219(Ix1 2) must be supported with actual water or wastewater use data in accordance with 15A NCAC 2H .0219(Ix3). - ---- ---- 3 -Ready State Facility Buildings, 50 beds per building Assume similar to ConstructionMork Camp or Boarding School — 60 gpd / bed 60 gpd / bed • 50 beds / building m 3000 gpd / building' 3 buildings - 9000 gpd the been submitted for Welland/Stream Crossings -General Permit or 401 Certification? ❑ Yes [:]No ® N/A Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ WA Stormwaten ❑ Yes [:]No ® N/A FAST -TRACK APPLICATION for GRAVITY SEWERS, PUW STATIONS, AND FORCE MAINS PAGE 5 114. Does this project involve aerial lines or siphons? Check if yes: ❑ -- 115. Does this project have gravity sewer lines designed at minimum slopes? Be aware flrat the Division v A rKA sooW installed rmes more limn 10% flatter than the minimum slope. Lines insimmm outside this tolerance should be corrected prior to subrrrt M the Final enpirr wft owWwadw.. FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 6 1. Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02103 (FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality 0 regional office (see instructions for addresses) OR indicate the following: _. ® A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope Qwaterbody; AND, ® A Stream Classification is not needed because the design does not depend on wet well storage as a power reliability j option for any pump station near a Class C down slope waterbody. Location ID on Map (self chosen - as shown on Name of Waterbody Stream Waterbody map for cross-reference) Waterbody County River Basin Index Classification ci Q _ W - V Submit the 8.5" x 11" COLOR topographic map as required in Instruction VI regardless of whether a classification is providedl 1. Applicant's Certification: 1, ,Gregory G. Bean, Director of Public Works, attest that this application for SOF Rowe Training Facility. Phase l/l has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if aN required parts of this apprication are not completed and that if all required supporting documentation and attachments are not included, this app6catrice ckage is subject to being returned as incomplete. Note: In accordance with North Carolina General Statutes 1A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in a n shall be guilty of a Gass 2 misdemeanor which may include a line not to exceed $10, 000 as well as civi a es up to $25, per violation. la. SigningTEineers ture Date 2. ProfessiCertification: Z / attest tcation for SOF Rowe Training Facility Phase Ill has been reviewed by me and is accurate, complete and cone information in the engineering plans, calculations, and aN other supporting documentation to the Q best of my knowledge. I further attest that to the best of my knowledge the proposed design has been prepared in U accordance with the applicable regulations, Gravity Sewer Minimum Design Criteria for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June u- 1, 2000 and the watershed dassification in accordance with Division guidance. Although certain portions of this submittal l` package may have been developed by other professionals, inclusion of these materials under my signature and seal signifies that / have reviewed this material and have judged it to be consistent with the proposed design. Note: In W accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement V representation, or certification in any application shall be guilty of a Gass 2 misdemeanor which may include a fine not to 0 exceed $10, 000 as well as ciw7 penalties up to $25, 000 per violation. 2a. Robert L. Downs \\���\IIII III!/17/ Professional Engineer Name \����'(N .CA ..ROB, 2b. Greenhome & O'Mara Inc. ?e •�FESS16 ri Engineeng Firm — 4 _ _ SEAL 2c. 5565 Centerview Dr. Ste 107 = " Mailing Address • • N 0-co2d. Raleigh 2e. NC 2f. 27606 ���09� GINE •\�� City State Zip I t lOO \\� l (oS 2g. (919) 532-2315 2h. (919) 851-8393 2i. rdowns@g-and-o.com Telephone Facsimile E-mail Seal, Signature & Date County of Moore PL&tic lVorks Department T. 0. Box 1927 Carthage, 'North Carolina 23327 oO�NtI OF 41 0�9F Utilities � � + SoCid -Waste 910-947-6315 (7eCephone) 1784 910 :947 -3637 (Teleyhone) 910-947-1992 (facsimiCe) P9� T ;_; fl ?� 910,947 i992 (facsimiCe) f �F MOpTN Q. O June 21, 2005 Mr. Rob Downs, P.E. Greenhorne & O"Mara, Inc. 5565 Centerview Drive, Suite 107 Raleigh, NC 27606 Dear Mr. Downs, RE: Flow Acceptance letter for Camp MacKall, SOF Rowe Training Complex Phase III The Moore County Water Pollution Control Facility, NPDES # NC 0037508, presently has sufficient capacity available to conditionally accept up to 9,000 gallons per day from the above referenced project. This project will be required to comply with all specifications and requirements of the Operation and Maintenance Contract between Moore County and the Government. See Note 3: (page B — 2 Revised) of the agreement: If the facility at any time during the life of the agreement averages more than 35,000 gallons per day in a single month, an additional Impact Fee will be assessed in 5,000 gallon increments at a rate of $6.00 per gallon with the additional Impact Fee due on the first day of the following month. Recent problems of increased volume of debris passing through the manually cleaned barscreen clogging the pumps will need to be addressed during this up -grade. (See attached letter to Mr. Gregory Bean). Upon completion of the referenced project, the applicant's engineer is to provide our office with the following items: 1. Certification of Completion. 2. Complete set of As -Built drawings. If you have any questions or comments please call me at (910) 947-6315. Sincerely, MOORE COUNTY �� %/PUBLIC WORKS P-'Zlllt�-I' �ek Ernie Black Engineering Project Manager Cc: Mr. Phillip Boles, Director Mr. Delmo Frye, WWTP Superintendent 7 It 0 F. a SOF ROWE TRAINING FACILITY PHASE III MAP STATEMENT: Due to the project location being located within the US Army - Camp MacKall cantonement area, specific location information is not available on USGS Topographic maps. The new sanitary sewer line to be installed in this project is not located within 100 feet of downslope surface waters. GREENHORNE& GENERAL CIVIL TRANSPORTATION 77 RESOURCE MANAGEMENT a O' M A R A, I N C. AUG 0 8 20 s GEOGRAPHIC SCIENCES V I S I o N 5. sot o r I ON 5. August 4, 2005 VIA Regular Mail Mr. Mike Lawyer North Carolina Department of Environment and Natural Resources Division of Water Quality Systel Building 225 Green St, Suite 714 Fayetteville, NC 28301 RE: Fast -Track Application for Gravity Sewer SOF Rowe Training Facility Ph III — Camp MacKall Ft. Bragg, North Carolina Dear Mr. Lawyer: Enclosed is the application package for the gravity sewer permit for a project at Camp MacKall. I apologize but the attached topographic map is the only information available for the project location since it is located within the US Army Camp MacKall cantonement area. Enclosed please find the following: Two (2) copies of the Fast -Track Application form One (1) application fee check One (1) copy of the Flow Acceptance letter One (1) USGS Topographic map At your earliest convenience please review and notify us of your approval or any comments. Sincerely yours, GREENHORNE & O'MARA, INC. Robert L. Downs, P.E. Project Manager Enclosures Cc: Brant Blackburn — White Hawk/Todd 5565 Centerview Drive, Suite 107 • Raleigh, North Carolina 27606 • Phone: 919.851.1919 • Fax: 919.851.8393 www.G-and-O.com TRACK APPLICATION for GRAVITY SEWERS, POMP STATIONS, AND FORCE MAINS PAGE 3 Application Number: , , 1/1 0(� �G% � -73 (to be completed by DWQ) W"` I. Owner.• la. Directorate of Public Works Full Legal Name (company, municipality, HOA , utility, etc.) Z O lb. Gregory G. Bean, Director of Public Works Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!) 1c. The legal entity who will own this system is: ❑ Individual ® Federal ❑ Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify): O 1d. Building 3-1631, Butner Road le. Ft. Bragg ZMailing Address City 1 f. NC 1 g. 28310-5300 O State Zip Code H 1h. (910)396-4009 li. (910)432-6908 1j. c�regory.g.bean@us.army.mil Q Telephone Facsimile E-mail 0 2. Project (Facility) Information: 2a. SOF ROWE TRAINING COMPLEX 2b. Richmond a IL Brief Project Name (permit will refer to this name) County Where Project is Located Q 3. Contact Person: Q 3a. Richard Weeks Name and Affiliation of Someone Who Can Answer Questions About this Application 3b. (910) 432-7277 3c. richard.weeks us.army.mil Green%tom eh' O'Mara, Inc. Ph 919-851-1919 5565 Centerzdew Dr. Suite 107 Raleigh, NC 27606 PAY 1 ORDER OF - _Four _ %'♦�c�dr�.� - 4381 66-1040/531 BRANCH 99052 iIT-a_At-0 - First Union National Bank Fr f rstunion.com O I i J Org. 001 RIT 053110400 i C I rC?R JC�•.1 Gam.-1'�-�.rcr�,_�t' -- -- -- p�L r— o. 1 ne origin or tnls wastewater 1s (cneCK all tnat apply): - - DOLLARS ❑ Residential Subdivision ❑ Car Wash ❑ Apartments/Condominiums ❑ Institution W El[IMobile Home Park Hospital % Domestic/Commercial IL ❑ School ❑ Church % Industrial ❑ Restaurant ❑ Nursing Home m ❑ Office ® Other (specify): Military Ready -State 100 % Other (specify): Military Facilities 7. Volume of wastewater to be allocated for this particular project: 9000 gallons per day 'Do not include previously permitted allocations 8. If the permitted flow is zero, indicate why: ❑ Interceptor Line - Flow will be permitted in subsequent permits that connect to this line ❑ Flow has already been allocated in Permit No. 0 Rehabilitation or replacement of existing sewer with no new flow expected Central Files: APS_ SWP_ 08/08/05 Permit Number W00029173 Permit Tracking Slip Program Category Status Project Type Non -discharge In review New Project Permit Type Fast Track Version Permit Classification Gravity Sewer Extension, Pump Stations, & Pressure Sewer Individual Extensions Primary Reviewer Permit Contact Affiliation mike.lawyer Permitted Flow 9000 Facility Facility Name SOF Rowe Training Complex Location Address Owner /Maojor/Minor Region Fayetteville County Richmond Facility Contact Affiliation Owner Name Owner Type Individual Gregory G Bean Owner Affiliation Gregory Bean Public Works Business Ctr Fort Bragg NC 28310 Dates/Events Scheduled Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration 08/08/05 Regulated Activities Requested/(Received Events Additional information requested Additional information received Outfall NULL Waterbody Name Stream Index Number Current Class Subbasin