WQ0042196_Application (FTSE)_20201221

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: Vi QOd _I )-1 9 b (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of Eden NC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation E General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Neville Hall per 15A NCAC 02T .0106(b)
Title: Mayor
4. Applicant's mailing address: 308 E. Stadium Drive
City: Eden State: NC Zip: 27288-3299
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: MGM Warehouse Sanitary Sewer Rehabilitation
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ0b�l8 and issued date: 09/2x2004
If new construction but part of a master plan, provide the existing permit number: W000
3. County where project is located: Rockingham
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.49479° Longitude: -79.70479°
5. Parcel ID (if applicable): 709000205550
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: T. Carter Hubard License Number: 24984
Finn: W.K. Dickson & Co., Inc.
Mailing address: 300 N. Third Street, Suite 301
City: Wilmington State: NC Zip: 28401-4099
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Mebane Bridge Treatment Facility Permit Number: NC0025071
Owner Name: City of Eden
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQCS00018
Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00018
Owner Name(s): City of Eden
FORM: FTA 04-16 Page 1 of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ZN/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 ZN/A
3. If the Applicant is a Home/Property Owners' Association has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ZN/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned
❑ Residential Leased
❑ School / preschool / day care
❑ Food and drink facilities
® Businesses / offices / factories
❑ Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental / veterinary facilities
❑ Church
❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool /Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic/Commercial % Commercial
% Industrial (See I5A NCAC 02T .0103(20))
)Is there a Pretreatment Program in effect? ❑ Yes
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ® No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
❑ No
Establishment Type (see 02T.0114(t))
Daily Design Flow a•"
No. of Units
Flow
Weil -McLain
13,500 gal/day (Peak Month ADF)
N/A
13,500 GPD
MGM Transport Corporation
35 gal/day (Factory w/ showers)
300
10,500 GPD
New Street Pump Station Reroute
240 gallResidence
59
14,160 GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
38,160 GPD
n
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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 facili ies 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 I5A NCAC 02T.01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 10,500 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): New flow of 10,500 GPD is from the MGM facility. Exisitng flow of 27,660 GPD is being rerouted
FORM: FTA 04-16
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
24
66
PVC C900 (New)
➢ 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: MGM
2. Approximate Coordinates (Decimal Degrees): Latitude: 36.49509° Longitude: -79.70481°
3. Design flow of the pump station: 0.288 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 200 7$J gallons per minute at 205 / %feet total dynamic head (TDH) o
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6
93
RJDIP
6. Power reliability in accordance with I5A NCAC 02T .0305(11)(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 - I5A 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(fl contains minimum separations that shall be provided for sewer systems:
® Yes ❑ No
Setback Parameter*
Separation Required
24 inches
Storm sewers and other utilities not listed below (vertical)
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(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
> If noncompliance with 02T.0305(fl or (g) 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 0 No ® N/A
➢ This would include Trout Buffered Streams per I5A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
❑ Yes No
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? Z Yes 0 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,
gaCiarei
/ (Professional name from Application Item III. I.)
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 143-215.6B, 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.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I,
To w1 es em 1"40.1 C; L `` 4gtoGEC'
(Signature Authority' name & tide from Appation Item I.3.)
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 143-215.6B, 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:
Date: i11116aD
FORM: FTA 04-16 Page 5 of 5

Repair to
VCP
>I New Street PS
Connection
Proposed
of Existing
Legend
MB Proposed MGM PS
PI
Pump Stations
Project Area
Existing 24" Gravity Sewer
Parcels
MGM
Building
Main
Existing
Proposed
MGM
pkwi< Vicinity Map
1/DICKSON MGM Warehouse Sanitary Sewer Rehabilitation
community Infrastructure consultants City of Eden, North Carolina
w

Existing WeiITMcLain:PS
To Be Decommissioned
Weil
McLain PS
■a g
Proposed Pointe'
'Repair to 24" +`
VCPSewer
Proposedk6"'ForceMain
Connection to Existing
10"`Force;Main1
Propoaed 624,LF`CIPP)
ofExisting'24" VCPSewer
WWI< USGS Topographic Map
IODICKSON MGM Warehouse Sanitary Sewer Rehabilitation
community Infrastructure consultants City of Eden, North Carolina

DICKSONWW
�
community infrastructure consultants
December 17, 2020
Mr. Justin Henderson
Division of Water Resources
NCDEQ — Winston-Salem Regional Office
450 W. Hanes Mill Road
Winston-Salem, NC 27105
RE: Fast Track Sewer System Extension Permit Modification
MGM Warehouse Sanitary Sewer Rehabilitation
City of Eden, North Carolina
WKD Project No. 20190203.00.RA
Dear Mr. Henderson:
NC Department of
Environmental Quality
Received
DEC 21 2020
Winston-Salem
Regional Office
The City of Eden intends to construct a new pump station at the MGM Warehouse site to enable
continued use and economic expansion of the facility. The MGM Warehouse facility has a private
gravity sewer and a wastewater treatment facility with NPDES discharge NC0001643. This
submittal is for a permit modification (WQCS00018) to add gravity sewer, a triplex pump station
and force main that will collect and pump wastewater to the Mebane Bridge Treatment Facility
(NC0025071).
The existing private sewer has been surveyed and inspected by CCTV. Based on the condition of
the gravity sewer encountered only minor rehabilitation is needed. This gravity sewer will be used
to reroute flow from the Warehouse and nearby City permitted Weil McLain and New Street pump
stations. By rerouting the two City pump station flows, approximately 30,780 gallons per day will
be rerouted away from the Covenant Branch pump station.
The proposed MGM pump station will be a triplex suction lift pump station with a 12-foot diameter
wet well. The sewer piping to connect the proposed pump station to the existing sewer system
includes 93 linear feet of 6-inch reinforced joint ductile iron pipe force main and 66 linear feet of 24-
inch PVC gravity sewer.
We are requesting a permit WQCS00018 for construction of the proposedsewer, force main,
and proposed MGM pump station.
300 N. Third Street, Suite 301
Wilmington, NC 28401
Tel. [phone]
Fax [phone]
www.wkdickson.com
Transportation • Water Resources • Urban Development • Geomatics

Mr. Henderson
December 17, 2020
Page 2
As part of this submittal, please find enclosed the following documents for the referenced permit
modification:
• One (1) original of the completed Fast Track Application (Form FTA 04-16)
• One (1) copy of the completed Fast Track Application (Form FTA 04-16)
• One (1) original of the completed Flow Tracking/Acceptance Form (Form FTSE 10-
18)
• One (1) copy of the completed Flow Tracking/Acceptance Form (FTSE 10-18)
• One (1) color copy of a USGS topographic map depicting the project area and closest
surface waters (Figure 1)
• One (1) color copy of a street -level map showing the project area (Figure 2)
• One (1) copy of the approved Permit No. WQCS00018
• One (1) check payable to NCDEQ in the amount of $480.00
Please do not hesitate to contact us if you have any questions or comments. We look forward to
hearing back from you.
Sincerely,
W.K. Dickson & Co., Inc.
T. Carter Hubard, P.E.
Project Manager
Enclosures (6)
cc: Mark Bullins, City of Eden Public Utilities Director
&DICKSON
II

Divinion of de.r Resoisrtes,
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Eden, NC
Project Name for which flow is being requested: Warehouse Sanitary Sewer
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: Mebane Bridge Treatment Facility
b. WWTP Facility Permit t: NC0025071
All flows are in MGD
c. WWTP facility's permitted flow 13.5
d. Estimated obligated flow not yet tributary to the WWTP 3.438
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
4.305
0.010
7.753
57.43
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) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Finn t pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MOD MGD Flow Capacity***
There are no pump stations between proposed connection point and receiving WWTP.
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped Bow
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)(4Xc) of the 1VIiiiimum 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 < O.
Downstream Facility Name (Sewer): Mebane Bridge WWTP
Downstream Permit Number: NC0025071
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I 13e. ©°P e < < 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 Official Signature
D®72 . l; &'1G i.J Ri46
Title of Signing Official
///6,/z0
Date
Page 2 of 6
FTSE 10-18