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