WQ0041755_Application (FTSE)_20200615

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:Wa00q1Q-s� Ilu he contploed h% 1A,It)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
l . Applicant's name: Franklin CountvPublic Utilities (company, municipality. FIOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ® State -County ❑ Municipal ❑ Other
3. Signature authority's name: Chris Doherty per 15A N_C,AC 021.0106L
Title: Public Utilities Director NCbeptOfEnvironmentai 4tptdit3
4. Applicant's mailing address: 1630 US Highway 9
JUN f K 2020
City: Youngsville State: NC Zip: 27596- `tl-,get
J
5. Applicant's contact information: Raleigh Regional Office
Phone number: (919) »6-6177 Email Address: cdohertyna franklincountvnc.us
II. PROJECT INFORMATION:
I. Project name: Holden Creek Subdivision phase 6
2. Application Project status: ® Proposed (New Permit) ❑ Existing Permit Project
11'a modification, provide the existing permit number. WQ00 and issued date:
If new construction but pan of a master plan, provide the existing- permit number: WQ00
3. County where project is located: Franklin
4. Approximate Coordinates (Decimal Degrees): Latitude. 36.0209 Longitude:-78.4948
5. Parcel ID (if applicable): 1842-96-0260
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Michael Crowley License Number: 20629
Firm: caaENGINEERS. Inc.
Mailing_ address: 1233 Heritage Links Drive
City: Wake Forest State: NC Zip: 27587-
Phone number: [phone] Email Address: mcro%vlev�itcaaem ineers.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Franklin County WWTF Permit dumber: NC006931 1
Owner Name. Franklin County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (ifdirferent than WWTF):
I. Permit Number(s): WQ0037802 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Numberls) Of applicable}: WQC%=
Owner Name(s): Franklin County II
FORM: FTA 04-16 Paue 1 of'5

VI. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes []No ❑C N:A
2_ I f the Applicant is a Developer of lots to be sold, has a Developer's Operational A sreement ( FORM: DEV) been attached?
❑ Yes [-]No ❑N A
3. Ifthe Applicant is a Home Propem Owners'_ Association, has an Operational Agrgment JFORM: f-I_.QA} been attached'
❑ Yes []No ©WA
44. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores. centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparationisery ice ❑ Hotel and::or Motels
❑ School preschool ` day care ❑ Medical ' dental : veterinary facilities ❑Swimming Pool Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool- Filter Backwash
El Businesses! offices factories El Nursing Home El Other (Explain in Attachment)
r. Nature of wastewater : 100 % Domestic:Commercial °o Commercial
Industrial (See 15A.NCAC 02T .0103(20))
+� Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under I5A NCA _02Tv01 14[i)? ❑ Yes ❑ No
If ves, provide a copy of Row reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140
Daily Design Flow t'
Na. of Units
Flow
Residential SF
250 gal/Day
50
12500 GPD
gal/
GPD
gall
GPD
,,a[/
GPD
goal/
GPD
,,a]/
GPD
Torn! aj ULl GPD T_
a See I iA ! CAC 02T .0I 144b)__(d). (ejLU and l0(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 establ ishments not identified [in table I5A NCAC 02T_01.141 shall be
determined usin�o available flow data, water using fixtures. occupancy or operation patterns. and other measured data.
8. Wastewater generated by project. 12500 GPD (per 15A NCA(' 02T AI 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: rTA 04-16 Page 2 of i

V11. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers)
l . Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
S 2705 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: _ 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 dvnamic head (TD1-1)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with IAA NCAC 02T .030501f l 1:
❑ Standby power source or pump with automatic activation and telemetry - I SA NCAC 02T .0305(h)(1)(13).
Required for all pump stations with an average daily now ygreater 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)(I)(C):
i 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 Paue 3 of5

IX. SETBACKS & SEPARATIONS - (02B .0200 & ISA NCAC 02T .0305(t)):
1. Does the project comply with all separations found in 15A 14CAC 02T .0305(t) & g
A, 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
❑ Yes ❑ No
Setback Parameter'
Separation Re wired
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (vertical -water over sewer including in benched trenches)
18 inches I
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-1 waters of Class I or
Class 11 im ounded 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
To slo a of embankment or cuts of 2 feet or more vertical height
10 feet
Drainages stems and interceptor drains
5 feet
Any swimming pouls
10 feet
Final earth grade (vertical)
36 inches
15A NCAC 02T-0'305W, contains alternatives where separations in 02T.03050 cannot be achieved.
"Stream classifications can be identified using the Division's NC Surface Water Classifications web age
P, If noncompliance with 02T.0305if) or.LO,, see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No 0 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
P" This would include Trout Buffered Streams per ISA NCAC 213.0202
4. Does the project require coverage:authorization under a 404 Nationwide or ❑ Yes ❑ No
individual permits or 40l Water Quality Certifications?
Information can be obtained from the 401 & Buffer Permittin.;LBranclt
5. Does project comply with 15A NC..AC 02T.0105(cl(6) (additional pennits.:certifications)? ❑ Yes ❑ No
Per 15A NCAC 02T_0105 . 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 115A NCAC 02T.0402, " high -priority sewer' means -any aerial sewer, sewer contactinsurface waters. siphon. or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer,
[:)Yes ❑X 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 ISA NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: rTA 04-16 Page 4 of

X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02T, the hijaiMILm Design Criteria For the Permitting of Pump Stations
and Farce Mains (latest version, and the Gravies Sewer Minimum Desi=T.n Criteria (latest versions as applicable?
X❑ Yes ❑ No
If No, complete and submit the Variance -Alternative Design Request application (VADC 10-144) and supporting documents for
review. Approval of the request is required prior to submittal orlhe Fast Track Application and supporting documents
2. Professional En+eineer's Certification:
Enj*neer'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 143-215.6I3, 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 510,000, as well as civil penalties up to 525.000 per violation..��������.
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Certification per 15A NCAC 02T .0106(b):
I. C KtZ�67� , ttC' - - _ �6C— �t �C t �D�`r [ottest that this application for
(Signature Authority's name & title from Application Item [.3.) ��K
has been reviewed by me and is accurate and complete to the best of my knowledge. [ 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>vey�enalties up to 525.000 per violation.
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State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-13)
Entity Requesting Allocation: Franklin County Public Utilities
Project Name for which flow is being requested: Holden Creek Phase 6
More than cite ME rrrap be required for a singleproject if the vivner of the IVI TP is rrdot responsible for 1111 pump
stations alang 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: Franklin County WWTP
b. WVVTP Facility Pen -nit fk NCO069311
c. VtirkVTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the IV11r[*
c. WWTp facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated floxvs to the facility
h. Percent of pennittcd flow used
A11 flows are in MGD
3.0
1.251
1.113
0.0125 ti1GD
2.3765
79.2°•0
1I. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flaw.
List pump stations located between the project connection point and the WWTP:
(A)
Dcsign
Pump
Putnp
Average
Station
Station
Firm
Daily Flow•*
(Name or
Pcnntt
Capacity, *
(Firm I pf).
Number)
No.
MGD
L%IGD
Hunter
32392
wq --
1.361
0,544
(B)
(C)
Obligated,
Approx.
Not Yet
Current
Tributary
Mg. Daily
Daily Flow,
Flow, MGD
hIGD
0.I2
0
(D)=(B+C1
(E)=(A-D)
Total Current
Flow Plus
Obligated
Available
Flow
Capa6ty-
0.12
.4.2
* The Firm Capacity (design flog) 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.
*** ,k Plannin6 Assessment Addendum shall be attached for each pump station located
behveen the project connection point and the W"VTP where the Available Capacity is < U.
Downstream Facility dame (Sewer): Franklin County Public _Utilities
Downstream Permit Number: WQCS 00179
Page I a f 6

Ili. Certification Statement:
1 C HCz1�TpQi IZ a q CEQ! certifv to t:w best of my knovviedge that the addition (}t'
the volume orw'aste�vater to be permitte.(1 ill this project has been c%-iluatcd along the route to the receiving
wastewater treatment facility and that the flow from this prcjcct k not anticipated to cause any capacity
related sanitary serer overflows or overburden any dmvnstream pump station en route to the receiving
treatment plant under nonnal circumstances. glyell tile; implementation of the planned improvements
identified in the planning assessment «vhcre applicable. This analysis has been performed in accordance
with local established policies and proCedUr'CS Using the befit available data. This certification applies to
those items listed above in Sections I and If plus all attached planning astiessment addendums for which I
am the responsible party. Sigiature of this ibnn certifies that the recek ing collection system or treatment
works has adequate capacity to transport and treat the propoied new wasteu-titer.
7F11e of Segning, Ojjiciell
Date
Pave 2 ol'C

Cashion, Ted
From: Cashion, Ted
Sent: Tuesday, June 30, 2020 7:09 AM
To: Chris Doherty ([e-mail]); '[e-mail]'
Cc: Robinson, Jason
Subject: Holden Creek Subdivision Phase 6 fast track sewer extension application
Chris and Mike,
We are reviewing the subject application and are ready to draft the permit. The application is missing a FTSE form that
must be completed and submitted. You can email us this form to expedite issuance of the permit.
Thx
ted
Ted Cashion
Water Quality Regional Operations
Division of Water Resources
NC Department of Environmental Quality
Raleigh Regional Office
919-791-4254
[e-mail]
1628 Mail Service Center
Raleigh, NC 27699-1628
3800 Barrett Drive
Raleigh, NC 27609
,;�-ID E
iso-a+�+�taTlmrwrxrW �
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