WQ0041659_Regional Office Historical File Pre 2018

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
I5A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:
All items nnt he completed or the aplicatlon will be .eturned
APPLICANT° INFORMATION:
(10 be completed by DWR)
1. Applicant's name: City of 14 ickory (company, municipality,H0A, utility, etc.)
(4,5CE1VED1NCit*N1Hi:DWR
P R 3 n 3030
'WQROS
MOOPESVILLF REG RNAL ()F"FICE
Applicant type: El Individual J Corporation E1 General Partnership Ej Privately -Owned Public Utility
ID Federal State/County
tviunicipal LIi1 Other
3. Signature authority's name: Warren Wood per 15A NC C 02T .0 I 06,(b)
'rifle: City Manager
4. Applicant's mailing address: 76 North Center Street.
City: 1-lickory State: NC Zip: 28601-
5—Applicant's contact information:
Phone number: [phone] Email Address: v od(hickorync.g,ov
11, PROJECT INFORMATION:
1, Project name: Sherrill's Stream at Lake Norman
Application/Project status: Proposed (New Permit) D 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: 'WQ,00,_
3. County where project is located: Catawba
4. Approximate Coordinates (Decimal Degrees): 1 atitude. 36:6169Longitude: -Q.9862,
Parcel ID (if a.pplicable): 460802857424
(or Parcel ID to closest downstream sewer)
M. CONSULTANT INFORMATION:
L Professional Engineer: Vincent C. Townsend
Firm: Green, Mountain Enginecrin,g PLLC
Mailing address: 7A WendyCt.
City: Greensboro State: NC Zip: 27409-
Phone number: [phone] Entail Address: Vineegrecnmountaineng
IV, WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Flickory Catawba WWII,' Permit Number: NC0025542
Owner Name: City of Hickm/
License Number: 023951
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00256
Owner Name(s):
FORM: FTA 04-16 Page 1 of 5

GENERAL REQUIREMENTS
REQUIREMENTS
1, if the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
0 Yes 0No N/A
2, If the Applicant is a Developer of lots to be sold, has a Devehlper's Ogerational Agreement (FORM: DEVI) been attached?
11 Yes 0No N/A
3. If the Applicant is a tipmg,prwcrtypriersssociation_kasitg.Operational Agrequisot„(FORM:_flOA) been attached?
0 Yes 0No N/A
4, Origin of wastewater; (check all that apply):
't.esidential Owned
esidential Leased
ool / preschool / day care
od and drink facilities.
Businesses / offices / factories
0 Retail (stores, centers, malls)
0 Retail with food preparation/service
El Medical / dental ./ veterinary facilities
0 Church
Nursing Home
0 Car Wash
D Hotel and/or Motels
0 Swimming Pool /Clubhouse
Swimming Pool/Filter Backwash
D Other (Explain in Attachment)
5, Nature of wastewater .100 % Domestic/Commercial % Commercial
% Industrial (See ISA NC AC 02T .0103(2L)))
> Is there a Pretreatment Program in .effect? D. Yes
6. Has a flow reduction been approved under 1.5A. NCAC 02T .010(0? LI Yes fl No
If yes. provide a copy of flow redaction approval letter
7. Summarize wastewater generated by project:
Estabtishrnent Type (see 02T.0114(fl)
Dwelling Unit - 3 bedroom
Daily Design Flow
360 gal/day
al/
gal/
gal/
gal/
gal/
0 No
No. ofUnits
89
Flow
12,040 GPD
Total
GPD
GPD
GPD
GPD
GPD
32,040 GPD
a See I 5A NCAC 021` ,Ol 14(), (d),(e)(1)_and fe)(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. 42.A-4).
b Per I5A NC.AC 02T .01 14(c), design flow rates for establishments not identified lin table 15A NCAC 02T.01141 shall be,
determined using available flow data, water using fixtures., occupancy or operation patterns, and other measured data.
8, Wastewater generated by project; 32,040 GPD (per I5A NC AC 02T .0114)
)‘, Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
0 Puinp Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit Number:
0 Rehabilitation or replacement of existing sewer with no new flow expected
0 Other (Explain):
FORM: FTA 04-16 Page 2 of 5

.PPP''''H. GRAVITY SEWER DESIGN CRITERIAApplicable) - 02T . .•05 • MDC ' 1,ravitv Sewer: :
1, Summarize gravity sewer to be permitted:
Sic
in
Length (feet)
Material
4119 PVC
1451 DIP
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
III. PIMP STATION DESIGN CRITERIA (if Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED 1N THIS PROJECT
I, Pump station number or name: PS-1
2. Approximate Coordinates (Decimal Degrees): Latitude: 35,618Longitude: -80,993'
3. Design How of the pump station: 0,032 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 9.3 gallons per minute at 176 feet total dynamic head (T
5. Summarize the force .main to be permitted (for this Pump Station):
Si,(inches)
Length (feet)
2,880
40
2-4
m ate ri a I
PVC
DUI
6. Power reliability in accordance with-15A NCAC 021 „030.5(l) 911.
Standby power source or pump with automatic activation and telemetry - 15A NCAC 02'1" ,0305(h)(l)(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 dai1 flow less than 15,000 gallons per day:
[I] Portable power source with 'manual activation, quick -connection receptacle and telemetry -15A 'NCAC 02T
,0305(h)(1)(C)
or
.E1 Portable pumping unit with plugged emergency pump connection and telemetry' - 1,5A 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 timetrames, shall be provided.
in the case of a multiple station power outage.
FORM: FIA 04-16
Page 3 of 5

SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(0):
I. Does the project comply with all separations found in 15A NCAC 021.0305(f) (g)
5kNCAC 02T,0305,(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter* Separation Required,
24 I— -
and other utilities not listed below vertical
d.-watcr overcwer including in be
Water mains (horizontal)
Reclaimed water lines (vertical - reclaimed over seweil
ecla•imed water lines (horizontal - reclaimed over sewer)
*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 drinkingwater,
tors classified WS (except WS-t or WS-V), B, SA, ORW, HQW, or SE3 from normal
eater (or tide elevatioril and wedaridslsee item IX,21
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
itches
Any buildim foundation
Any basement
• stO•)e of embankment or cuts of 2 feet
stems and interceptor drains
Any swimming pools
I earth grade (vertical)
ica
ineliess
100 feet
50 feet
10 feet
5 feet.
10 fect
10 feet
5 feet
10 fee
36 inches
1 'A NCAC 0211,0305(g) contains alternatives where separations in 02-1.0305(1) cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Water,gassificatit. s web_pa
• noncompliance with 021,0305010r see Section X of this application
2. Does the project comply with separation requirementsfor wetlands? (50 feet of separation)
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 ISANCAC 02B .0200?
» This would include Trout Birffered Streams per 15A NCAC 211.0202
Yes
Yes
No
No
M Yes El No
4, Does the project comply with an individual 404 Permit or any 401 Certifications? z Yes LI No
• Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
• Information can be obtained front the 4,01 Buft'er Permitting Branch
5. Does project comply with 15A NCAC 02T.0105L46) (additional permits/certifications)? E) Ye, No
Per I5A NCAC orro 0,5 , 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 ISA 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 undemines or deteriorates the sewer.
LIJ 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 perm ittee or it 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: FIA 04-16 Page 4 of 5

CERTIFICATIONS:
I. Does the submitted system comply with 15Ms12ALQ2I, the MinimpunDesi __;riterin for the Permitting of Putuz,Stations
and finrce Ma insflatest version and the Gravity SCAM" CSiV101 e,;51 VI:S101 applicable?
Ye5
If No, complete and submit the Variance/Alternative Design Request application (VA DC 10-14) and supporting documents for
review, Approval of the request is reguired prior to submittal ofthe Fast Trutt Application and supporting documents.
2. Professional Engineer's Certification:
attest that this application for
(Pmfessional Engineers Tan Application Item II
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. 1 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 Past -Track Permitting
of Pump Stations and Force Mains (latest version). Although. other profes'iionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and ,wal 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 sha 1 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 dile: \\..\;k7,"1,11476,1!:/,//-14,
S Sid
3, Applicants Certification per 15A 'NCAC 021' .0106(b):
,CLfrf-vi ooCJJL
d.4_
(Signature Authority's nahic & title &om �pIication Rcin L3.)
e
hat this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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. 1 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 ifall required parts of tir s application package are not completed and that if
all required supporting information and attachments. are not included, this application package will he returned to me as
incomplete.
In accordance with General Statutes 141721.5,6A and j42I6R, any person who knowingly makes any false
statement, representation, or certification in any application package sha I be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $2.5,003 per violation,.
Signature: _
FORM: ETA 04-1.6
Page 5 of 5

State of North Carolina
Departinent of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Hickory
Project Name for which flow is being requested: Sherrill's Stream at Lake Norman
More than one FTSE map be required for a single project if the owner of the WIFTP is not responsible.for ailpump
stations along the route of the proposed wastewater flow.
Complete this section only if you are the owner of the wastewater treatment plant
a. WWII) Facility Name: Hickory -Catawba WWTF
b. WWTP Facility Permit NC0025542
All flows are in MGD
c. WWTP facility's permitted flow 1.5
d. Estimated obligated flow not yet tributary to the 0.7831
e. WWTP facility's actual avg. flow 0.0893
f. Total flow for this specific request 0.03204
g. Total actual and obligated flows to the facility 0.90444
h. Percent of permitted flow used 60.3%
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pu:nip stations located between the project connection point and the W
Purnp Pump
Station Station
(Name or Permit.
'Number) No,
Firm
Capacity, *
MOD
(A)
Design
Average
Daily Flow"
(Firm / pf),
MOD
(B) (C)
Obligated,
Approx. Not Yet
Current Tributary
Avg. Daily Daily Flow,
Flow, MGD .MGD
•TP:
(D)=(13+C) (E)=-(A-13)
Total Current
Flow Pius
Obligated
Flow
Available
Capacity***
Browns Chapel 1.825 0.73 0.0657 0.341 0.4067 0.3233
Molly's Backbone
Sherrills Ford
1.825 0.73 0,0657 0.341 0.4067 0.3233
1.73
0.692 0,0657
0.341 0.4067 0,2853
* The Firm Capacity (design flow) of any pump station is delined as the maxirnnrn pumped now
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.
*** 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): Hickory -Catawba Collection System
Downstream Permit Number: WQCS00256
Page 1 of 6
irrsE 10-18

ation St ternent
n Wood, City Manager certify to the best of my kno ledge that the additiaddition of
ofwastewater to be permined in this project has been evaluated along the route to the receiv ng
tment facility and that the flow from this project i ; not antianticipated to cause any capacity
elated sanitary sewer overflows or overburden any downstream pump stticaaa en route to the receiving
e tment plant under normal circumstances, given the im implementationt` the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
local established policies and procedures using the best available data, This certification applies to
e items listed above in Sections I and II plus all attached planning assessment addendua s for which I
resonsibl c party. Signature of this form certifies that the receiving collection system or treatment
as adequate capacity to transport and treat the proposed new vastewater
Page 2 of 6
10-1

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Green Mountain Engineering, P
C
To: NCDEQ — Water Quality Section
Civil Engineering Consultants
Address: 450 W. Hanes Mill Rd — Suite 300., Winston-Salem, NC
5
From: Jordan Q. Young, E.I., Green Mountain Engineering, PLLC
Date: 2020-April-21
Re: Sherrill's Stream at Norman Lake
E cY k WQROS,
$V)t,t. REGIONAL OFFICE
Messages
Attached please find application packages for sewer extension off Sherrill's Ford Rd.
near Beatty Rd. to serve the residential housing proposed by Sherrill's Stream at Norman
Lake Subdivision. Included are one (1) original and one (1) copy of the Application
Package, and one (1) check for S480.00.
Please Bet us kno if you have any questions or require addition n, 1 can be
reached via email jo:dan,ar'greenmounta r ct ineers.com or by cell phone [phone])
at your convenience.
Best Regards,
Jordan .D. Young, E.i.
Green Mountain Engineering, PLLC
7A Wendy Court - Greensboro, NC 27409 - [phone]

Green Mountain Engineering, PLLC
Civil Engineering Consultants
Project Narrative
For
Sherrill's Stream at Lake Norman
Located in Catawba NC
April 21Pt, 2020
To Whom It Mav Concern
vt, r REGic
AL orneE
Sherrill's Stream at Lake Norman is a proposed 89 lot subdivision unit ;`'- single
family subdivision. The sewer outfall serving this subdivision will tie into an existing
sanitary sewer manhole in Sherrill's Ford Road that drains to Catawba Co. Pump Station.
Approximately 4,119 linear feet of PVC gravity sewer main, 1,451 of DIP gravity sewer
main, 2,880 linear feet of 3-inch PVC and 40 linear feet of 3-inch ➢I'P force main. 8-inch
gravity sewer mains with 89 new services will connect to a new pump station then to the
proposed 3 inch force main that will be installed to an existing manhole in Sherrill's Ford
road. A total of 89 new residences are planned for this subdivision.
The design and plan review was done in accordance with NCDEQ's Gra gat
Sewer Nfinimu,n Design Criteria and the City of Graham's standards and specifications.
Work on the sewer installation is planned to begin in late Summer of 2020.
Please contact me if you require additional information. You can reach me via email
orlon(o greenmount.ainengincers,com or by telephone (336)-252,-2781 at your convenience.
Respectfully submitted,
Jordan D. Young, EJ.
Green Mountain Engineering, PLLC
7A Wendy Court - Greensboro, NC 27409 - [phone]
Page 1 of 1