WQ0039027_Sewer Extension_20170202

RECEIVED
' DEQ/DkNR
DAR FEB 0 2 201;
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water ItesourcVVQROS FTA 04-16 & SUPPORTING DOCUMENTATION
F AYETTEVILLE RE GIONAI nFFI(-F
Application Number:y390a27(to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Southern Pines (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: Brent Lockamb , PPE per 15A NCAC 02T .0106(b)
Title: Town Engineer
4. Applicant's mailing address: 140 Memorial Park Court
City: Southern Pines State: NC Zip: 28387-_
5. Applicant's contact information:
Phone number: (91O) 692-1983 Email Address: lockamyasouthernpines.net
II. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
1. Project name: West Maine Village North
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: Moore
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.1825' Longitude:-79.3911 1
5. Parcel ID (if applicable): 00036263
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: David T. UpchurchLicense Number: 9570
Firm: Double D Engineering,PLLC
Mailing address: 150 S. Page Street
City: Southern Pines State: NC Zip: 28387
Phone number: 910) 684-8646 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Moore County Waste Water Treatment Plant Permit Number: NCO03758
Owner Name: Moore County Public Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ unknown Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 04-16 Page 1 of 5

Vl. 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 Aareement (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 preparationiservice ❑ 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 Ilome ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
% Industrial (See_I5A NCAC 02T .0103(20))
4-Is there a Pretreatment Program in effect? [:]Yes ® No
6. Has a flow reduction been approved under 15A NCAC 02T .01 14(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
Single Family Lots
360 gal/day
14
5040 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
5040 GPD
a See 15A NCAC_02T .01 14(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.01 141 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 5040 GPD (per )5A NCAC 02T .Ol 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 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
8 293 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
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: 0Longitude: - °
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 021' .0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13):
➢ 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) &. (s>
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
4EM907M.
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 11 impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-1 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(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 webpage
➢ If noncompliance with 02T.0305(f) or (e,). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No
➢ 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 all setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
➢ This would include Trout Buffered Streams per 1.5A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 & Buffer Permittine 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
➢ 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, Permitting of Minimum Design Criteria for the Permittinof 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,
(Professional Engineer's name from Application Item III.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 143-215.613, 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:4,11t G4
ASP
t
3. Applicant's Certification per 15ANCAC 02T .0106(b):
I, t'ev \ ` L 0 QR A trr i attest that this application for
(Signature Authority's 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: Jlo��aDate: 131
FORM: FTA 04-16 Page 5 of 5

West Maine Village North
(first leg of sewer downstream of connection point @ 4.47% grade)
8" Diameter PVC Pipe at 2.52% Grade
14 Single Family Lots at 360/GPD = 5040 GPD
5040/GPD x 2.5 Peak Factor = 12600 GPD
Manning n for material
Slope (ft/ft)
Pipe diameter (in)
Slope min. (8"-18" pipe)
Slope min. (21"-36" pipe)
Pipe Diameter (ft)
X-sex area (1/2-full)
Hydraulic Radius
Hydraulic Radius 1213
Slope ^ 1/2
Velocity (ft/s)
Flow (cfs)
Flow (gps)
Flow (gpd) 112 Pipe
Flow (gpd) 3/4 Pipe
Flow (gpd) Full Pipe
0.011'
00447
8
0.004
FALSE
0.667
0.174
0.167
0.303
0.211
8.673
1.513
11.319
977,936
1,466,904
1,955,872

OF \N A TF,9 State of North Carolina
Department of Environment and Natural Resources
� Division of Water Quality
< Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE 06-13)
Project Applicant Name: Town of Southern Pines
Project Name for which flow is being requested: West Maine Village North
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.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: A400re Cd4J., 4-3 W&J-c. r Po11yI.:e.. C&,.fro 1 /Le:I:l y
b. WWTP Facility Permit #: N G 0037S'O8
All flows are in MGD
c. WWTP facility's permitted flow /0
d. Estimated obligated flow not yet tributary to the WWTP 2.367
e. WWTP facility's actual avg. flow H. 817s,
f. Total flow for this specific request 0.00684
g. Total actual and obligated flows to the facility 7.25136
h. Percent of permitted flow used 73.V 3
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:
(A) (B) (C) (DH(B+C) (E)=(A-D)
Design Obligated,
Pump Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity,* (Firm / pfl, Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
NA
SP #y S, 0.7140 6.0iog o.$IS'r 1.18yS
* The Firm Capacity 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.
*** 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.
Page 1 of 6
FTSE 06-13

Certification Statement:
Brent Lockamy 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 f'or which I am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
Signing Official Signature
1 /20/17
Date
Page 2 of 6
FTSE 06-13

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591 W Maine Ave - Google Maps
Page 1 of 1
o gle Maps 591 W Maine Ave
Southern Pines, North Carolina
Street View - Jun 2014
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Image capture: Jun 2014 © 2017 Google
https://www.google.com/maps/@3 5.1823 796,-79.391697,3 a,75y,3 56.18h,81.5t/data=! 3m6... 1 /27/2017

FORM WSCAS 03-12 `o�0Y W AT �9pG
WATERSHED CLASSIFICATION ATTACHMENT
FOR SEWER SYSTEMS
Applicant Name
Project Name
Town of Sottthem Pines
West Maine Village North
Professional Engineer Name
Engineering Finn Name
David T. Upchurch, P.E.
Double D Engineering, PLLC
150 S. Page Street
Southern Pines, NC 28387
Location
ID
Name of Waterbody'
County
River
Basin
Waterbody Stream
Index No.
Waterbody
Classification
A
McDeeds Creek
Moore
Cape Fear
18-23-11-4-1
WS-111, B; HQW:@
' If unnamed, indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins.
I certify that as a Registered Professional Engineer in the State of
North Carolina that I have diligently folkwmd the Division's instructions
for classifying waterbodies and that the above dassifications are
inclusive of the stated project, complete and owed to the best of my
knowledge and belief.
PE Seal, Signature and Date
8--(•Ito
*** END OF FORM WSCAS 03-12 ***
FORM: WSCAS 03-12 Page 1 of 1

Double D Engineering, PLLC
January 27, 2017
NCDEQ
Division of Water Resources
225 Green Street
Fayetteville, N.C. 28301
Attn: Trent Allen
Ref: West Maine Village North
Sewer Permit Application
Town of Southern Pines
Transmittal
RECEIVED
DEQ/DWR
FEB 0 2 2017
WQROS
FAYETTEVILLE REGIONAL OFFICE
Trent,
Please find attached:
Cover lefter, sewer permit application, Water shed classification form, downstream
sewer evaluation, flow tracking form, USGS map, street view map and the fee check.
If you have any questions or need any additional information, please feel free to
contact this office.
DOUBLE D ENGINEERING, PLLC
Lee Humphrey, Project Manager
150 S. Page Street Southern Pines, NC 28387 PH: [phone]
Firm No. P-1275

Project Cover Letter
West Maine Village North
The new 8" gravity sewer main to serve the West Maine Village North 1 Project will connect to an
existing Town of Southern Pines 8" Gravity Sewer Outfall. The new 8" gravity sewer main will extend
292.81 If with 2 new 4' dia. manholes to serve the development. The West Maine Village North Project
will serve approximately 14 single family homes @ 360 gpd/home for a total proposed flow of 5,040
gpd.
Downstream Sewer Evaluation
As shown with the attached calculations, the proposed gravity sewer inside the development and the
existing gravity sewer outside the development have the capacity to serve the proposed development.
Once the sewer reaches Southern Pines Pump Station #4, Moore County built a hydraulic model of the
existing sewer system from the pump station all the way back to the Moore County WWTP. Prior to
issuing the Flow Acceptance Letter, Moore County did their own evaluation of the capacity of their
downstream sewer and found they had adequate capacity to handle the additional flow.

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
Application Number: (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Southern Pines (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: Brent Lockamby, PE per 15A NCAC 02T .0106(b) RECEIVED
Title: Town Engineer
DEQ/DWR
4. Applicant's mailing address: 140 Memorial Park Court FEQ 0 y 2J 1'
City: Southern Pines State: NC Zip: 28387-
5. Applicant's contact information: WQROS
Phone number: 910
J 692-1983 Email Address: lockamy(@,southe=ines.net FAYETTEVILLE RFG,10NAL OFFICE
II. PROJECT INFORMATION:
1. Project name: West Maine Village North
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: Moore
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.18250 Longitude:-79.391110
DOUBLE D ENGINEERING, PLLC
110 Commerce Ave
Southern Pines, NC 28387
- � :.-:. - .�. y. , - -' , ;r• —� ,c�.� gar _��..:W :"�
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
1286
�J 66-112/531
DATE / — ZZ3! `
FORM: FTA 04-16 Pagel of 5