WQ0042106_Regional Office Historical File Pre 2018

State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A N02T .0300 — FAST 1fiACK SEWER SYSTEM EXTENSION APPLICATION
slam of Water asottra~aes ETA 04-1.6 & SUPPORTING DOCUMENTATION
Application Numbe(to be o mp➢eted by DWR)
All items must be completed or t
ieation will be returned
APPLICANT INFORMATION:
Applicant's name: Hickory Public 1Jtiliiies (company, municipality, HOA., utility, etc.)
Applicant type: Li individual E] Corporation © General Partnership El Privately -Owned Public Utility
0 Federal State/County Municipal LI Other
3. Signature auth arity's name: Warren Woof) per 1151 NCAC 02T .0106(b)
Title: City Manager
4,. Applicant's mailing address: PO Box 398
City: Hickory State: NC Zip: 28603-
5. Applicant's contact information:
Phone number: [phone] Email Address: spent 11 t ,hickorync goy
hozuEIVFi7iI cDENR/DWriy
1 2 MO
PIIt)JECT INFORMATION:
1. Project name: Villas at Sherril)s Ford
2. Application/Project status:
If a modification, provide the existint
posed (Nev Pere
[] Existing Pen Project
it number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing per nit number; WQ00
3. County where project is located: Catawba
4. Approximate Coordinates (Decimal Degrees): Latitude: 35 592392' Longitude:-80,97761i 7"
5. Parcel ID (if applicable): 4617-0926-3370
(or Parcel I:D to closest downstream. sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Josh Butler J;icense Number; 048418
Firm: Eastlake Engineering, LLC
Mailing address: 470 N. Broad Street, Suite A
City: Mooresville State: NC Zip: 28115-
Phone number: [phone] Email Address: josh.east.lake(d),gmail.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Permit Number:
Owner Name: Hickory Public Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different. than WWTF):
I. Permit Number(s): WO Downstream (Receiving) Sewer Size; 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS0025€6
Owner Name(s): Hickory Public Utilities
'QROS
MOORESVILL.F REGIONAL OFFICE
FORM: PTA 04-16 Page 1 of 5

GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certilicafe of Public Convenience and Necessity
If the Applican
If the Applicant is
© Yes [1No
N/A
Developer of lots to he sold„ has a Developer's Operation
El Yes END N/A
4. Origin of wastewater: (check all that apply):
' esidential Owned
El Residential Leased
E' School / preschool rday care
© Food and drink facilities
0 Businesses / offices / factories
Att
.as an Operational Agree
Yes LINO N/A.
❑ Retail (stores, centers, malls)
El Retail with food preparation/service
© Medical / dental / veterinary facilities
El Church
Q Nursing Horne
Nature of wastewater : 1.00 % DomesticiCommer'cial % Commercial
% industrial (See 15A NCAC 02T ,0103(20))
ti Is there a Pretreatm.cnt Program in effect?
6. Has a flow reduction been approved under 15A. NCA.0 02`I;' .01 14 ? © Yes
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 i,b
Residential - 3 bedroom homes 360 gal/per day
gal/
gal/
gal/
en attached?
F }RM: DLVl'been attached?
nt (FORM: 11O
been attached?
[1 Car Wash
Hotel and/or Motels
© Swimming Pool ,/Clubhouse
(l Swimming Pool/Filter Backwash
El Other (Explain in Attachment)
Yes Q No
No
gal/
a See ISA NCAC 02T .0114(b), (d), (e)(1) and (e)(2'1 for caveats to wastewater design flow rates (i.e.., minimum flow per
dwelling; proposed unknown non-residential development uses; public access: acilities located near high public use areas;
and residential property located south or east ofthe Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in C.S. 42A-J.
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 l4] shall be
determined using available flow data, water using 'f xtures, occupancy or operation patterns, and other measured data.
Wastewater generated by project; 2.1,240 GPD (per 15A NCAC 02"1' .011.4)
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 pe.m'bitted in subsequent permits that connect to this line
© Flow has already been allocated in Permit Number:
© Rehabilitation or' replacement of existing sewerwith no new flow expected
© Other (Explain):
FORM: ETA 04-16
Page 2 of 5

VIL GRAVITY SEWER .DESIGN CRITERIA (If Applicable) - 02T .0305 & .MDC (GravitySewer:
1, Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
2,240
8
354
At*
PVC
DIP
)0 Section 11 & 111 of the MDC for Permitting of Gravity Sewers contains information related to design criteria
• Section HI contains information related to minimum slopes for gravity sewer(s)
)0. Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUM,P STATION DESIGN CRITE iA (If Applicable) — 02,T .0305 & MDC (Pump StationsiPorce 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 dynamic head (TDH)
5, Summarize the force main to be permitted (for this Pump Station):
Size (inches)
6. Power reliability n accordance with 15A NCAC 02T ,0305(h)(1.):
Ej Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(I)(B):
Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
Must be perrnanent to 'facility
Or if the pump station has an average daily 'flow less than 15,000 gallons per day:
D Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0.305(h)( 1)(C)
or
Lil Porta.ble punnping, unit with plugged emergency pump connection and telemetry 15A NCAC 021" ,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; VIA 04-16 Page 3 of 5

IX: SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f));
Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g)
I 5A NCAC 02'7.0305(0 contains minimum separations that shalt be provided for sewer s stems:
E] Yes El No
Setback Parameter* Separation Required
Storm sewers and other utilities not listed below (vertical)
Watermains (vertical -water over sewer including in benched trenches)
Water mains (horizontal)
Reclaimed water tines vertical - reclaimed over s
Reclaimed water lines horizontal - re la' ed over
*Any private or public water supply source, including any wells, WS-1 waters of Class 1 or
Class 11 impounded reservoirs used as a source of drinking water
*Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HOW, or S13 from normal
high water (or tide elevation) and wetlands (see item IX.2
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
Any building foundation
An basement
Top slope of embankment or cuts of 2 fe
Drainage systems and interceptor drains
An swimn n ols
e vertical height
Final earth grade (vertical)
24 inches
.18 inches.
1.0 teet.
18 inches
2 feet
100 feet
10 feet
5 feet
10 feet
36 inches
• 15A NCAC 02T,0305(g) contains alternatives where separations in 02T.0305(f) cannot he achieved.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
Yo- If noncompliance with 02T.0305(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for 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
).4 As built documents should reference the location of areas effected
Yes EliNo
3. Does the project comply with all setbacks found in the river basin rules per 15A NCAC 0213 ,0200? Yes Ej No
• This would include Trout Buffered Streams per 15A NCAC 213..0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications?
El 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 Permitting Branch
5. Does project comply with 15A NCAC 02T,0105(c)(6) (additional permits/certifications)? Yes Ej 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, stonnwater 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.
[1 Yes No
If yes, include an attachment with details for each line, including type (aerial line, size, material, and 1 " n).
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

CERT1- rICATIONS:
Does the submitted system comply with 15A NCAC._02T
and Foce Mains_ (latest version)_ and the Gravity Sewer
Yes
l rrirtttlnI Design Criteria fort Pe itting,of I?i.it
�rri I3gsig,n, Criteria (latest version) as applicable?
© No
If No, complete and subrnitthe \7ariancetAlternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track App. n and supporting documents.
2. Professional Engineer's Certification:
1, ©3k �
(Professional Engineer's name from Application Item_
application fo
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 farther 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 1 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:
Applicant's Certification per 15A NCAC 02T ,0106(b):
I, Warren Wood, City Manager
(Signature Authority's name title frttira Application Item I.3.)
has been reviewed by me and is accurate and complete 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. twill make no claim against the Division of Water Resources should a condition
of this permit be violated 1 also understand that if all required parts of this application package are not completed and tlrat if
all required supporting infonnation and attachments are not included, this application package will he returned to me as
incomplete.
NOTE -- In accordance with General Statutes 143 ?1S.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
attest that this application for
FORM; I'`IA 04-16 Page 5 of S

DIvision of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSF 10-18)
Entity Requesting Allocation: City of Hickory
Project Name for which flow is being requested: Villas at Sherrills Ford
More than one FTSE may he 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.
Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Hickory -Catawba Wastewater Treatment Plant
b. WWTP Facility Permit #: NC0025542
c,. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
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
A/lflows are in MGD
I .5
0.7071
0.109
0.02124
0.83734
55.82%
11. Complete this section for each pump station you are responsible for along the route of this proposed wastew
List pump stations located between the project connection paint and the WWTP:
(A) (10 (C) (D)----(B+C) (E)----(A-)),
Design Obligated.,
Pump Pump Average Approx. Not Yet Total Current
Station Station Film Daily Flow** Current Tributary Flow Plus
(Name or 'Permit Capacity, * (Firm / pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
Terrell 0.576 0.23 0.0067 0,02124 0.0279 0.2921
Village
Center 1.375 0.55 0.0657 0.31 02 0,3962 0.1538
Sherrills
Ford_ [73 0.692 0.0657 0.3622 0.4279 0.2641
Molly's
Backbone 5 0.73 0.0657 0.3622 0,4279 0.3021
Brown
.,
_._..._.CARDel ......_ . 25 0.73 0.0657 0.3622 0.4279 03021
* The Firm Capacity (design (low) 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.
*** 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
III Certification Statement:
Paze 1 of 6
ENE 10-18

I Warren Wood, City Manager 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 lhr 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 Of 1a/ gnature
City Manager
Title of Signing Official
Date
Page 2 of 6
F'FSF 10-18

RECEI`WEr CD NI:4 )WR
NOV 1 2 ?DM
vvoRo'S
SV'p(, E REGIONAL or R" F.
Public Utilities
October 8, 2020
Attn: Eastlake Engineering
Pcsttax
Hickory, NC 28603-0398
Phone: [phone]
Fax: ( 23-7403
RE. Project Water and Sewer System Design, Construction/And Acceptance Requirements for Addition to
City of Hickory Public Water Supply, (PWS) and/or Public Owned Treatment Works, (POTW) for The
Villas at Sherrills Ford.
Dear Developer:
The purpose of this correspondence is to make you aware of City of Hickory requirements for extension of
and addition to Hickory Water and/or Sewer Systems. Secondly, this letter acts as an agreement between
you and the City of Hickory to state that you understand and agree with these requirements.
Please find the following listing detailing the requirements for each phase of the project from design to
construction and finally acceptance. All phases of the project will require the involvement of a professional
engineer retained by the developer. Please sign and return as an acknowledgement of this agreement.
PLANNING AND DESIGN
o Verify water and sewer facilities exist and capable of serving project.
• Engineer schedules meeting with Public Utilities Department to introduce project and obtain design
criteria.
• Engineer responsible for explaining project size, development phases and project coordination,
• Engineer produces detailed plans and specifications for review by Public Utilities Department,
o Sewer plans must show; 1) plan view tied to grid, 2) profile view tied to grid, 3) type of material, 4)
size of line, 5) scope of line, 6) ground and surface elevation, 7) existing utilities, 8) service
connection locations, 9) proposed easement widths, (25' minimum), 10) creek crossing details, 11)
scale, 12) trench type, 13) manholes to have .2" fall in invert, 14) rubber boot seals, 15) butyl seal
for manhole pieces and ring and lid, 16) pump station details, (if applicable), 17) grease traps and
18) other requirements on case by case basis.
o Water Plans must show: 1) plan view of line, 2) beginning tap location, 3) type of material, 4)
existing utilities, 5) valve locations, 6) fire hydrant locations, 7) service connection locations, 8)
proposed easement widths, (25' minimum), 9) scale, 10) backflow structures and 11) other
requirements on case by case basin
o Engineer responsible for correcting plans as requested by Public Utilities Department.
o Resubmittal of corrected plans and specifications for review.
a With approved plans, engineer requests flow acceptance letter and/or capacity availability letter.
• Engineer responsible for preparing appropriate local, state and federal permits, (NCDENR, PWS,
NDPU, SEC, Army Corps, etc., Pretreatment, NC DOT, etc.) once completely filled out the
engineer shall provide originals to Public Utilities Department for execution by appropriate city
official.
o Once form is executed it will be returned to engineerfor submittal,

o Owner is responsible for paying all permit fees for submittal to appropriate authority having
jurisdiction.
o Owner responsible for obtaining or surrendering any and all easements required to complete
project.
Li Engineer shall submit the required number of applications, plans, specifications and fees to
permitting authority for approval.
o Engineer and/or Owner responsible for responding to all questions or requests for information
required issuing permit.
o Hickory Public Utilities Department will receive permit when issued and will notify engineer and/or
Owner or Engineer/Owner shall provide to Public Utilities Department.
PRECONSTRUCTION
o Upon all permits being issued, engineer shall provide complete package to Hickory Public Utilities
Department and Owner,
o Proposed Contractor shall be approved by Hickory Public Utilities Director prior to construction
beginning,
o Proposed Utility Contractor shall provide Hickory Public Utilities with copy of current NC Utility
License and Bond for project.
o Contractor and Engineer shall schedule pre -construction conference with Public Utilities
Department prior to starting any construction.
o Engineer shall provide at pre -construction conference the Contractor and Public Utilities
Department an identical set of approved plans and specifications
o Engineer to provide Contractor with permits, encroachments and easements required to complete
project at pre -construction conference.
CONSTRUCTION
o Contractor to call Engineer and Hickory Public Utilities Department prior to scheduling start date.
o Hickory Public Utilities Department shall be contacted for making taps onto the existing system
Tap fees shall be paid before taps will be made.
o Hickory Public Utilities Department shall be allowed to randomly inspect construction,
o No water fittings shall be buried without Hickory Public Utilities Department verifying installation and
sufficient blocking.
o Driveways are not to be located over water meters. Meters will not be set if water meter boxes,
sewer clean -outs or their appurtenances are damaged or improperly positioned.
o Concrete deadman restraints shall be installed in a manner and frequency as requested by Public
Utilities Inspectors.
o Changes to the approved plans shall be approved by the Engineer and Hickory Public Utilities
Department.
• Hickory Public Utilities Department shall be able to stop construction immediately upon notifying
deficiencies. Construction shall not proceed until the Engineer notifies Hickory Public Utilities
Department that deficiencies are corrected.
o All construction shall be to City of Hickory Public Utilities Department standards and specifications.
o A punch list/final inspection shall be performed by Hickory Public Utilities Department and Engineer
prior to contractual demobilizing and all items shall be corrected or resolved in a timely manner.

APPROVAL AND ACCEPTANCE
0 All construction shall be complete, including landscaping and final inspection punch list items
approved.
o Water pressure test and bacteria test shall be successfully completed with Engineer and Hickory
Public Utilities Department present. Bacteria test shall be performed by a state approved
laboratory and results provided to Hickory Public Utilities Department.
of Sanitary sewer air pressure test, mandrel test and leakage test for manholes shall be successfully
completed with Engineer and Hickory Public Utilities Department present,
• Record drawings from the Engineer documenting actual installed conditions and locations shall be
produced by the Engineer and reviewed by Hickory Public Utilities Department,
3 With approved record drawings, the Engineer shall complete engineer's certification and
applicants certification and submit to the permitting authority that construction is complete and in
compliance with approved plans and specifications. A copy of this certification shall be delivered to
Hickory Public Utilities Department,
• Owner shall supply minimum of one (1) year warranty to Hickory Public Utilities Department, in
writing, beginning at the completion of above step in this section.
o With completion of all previous points, the system shall be deemed approved.
o Payment of calculated tap fees to City of Hickory will activate any and all service connections paid
for.
o Water and sewer taps for a respective structure must be paid at same time,
All the above points shall be followed and are agreed upon as requirements for connection to the City of
Hickory water and/or sewer systems. If at any time, any item is not agreeable to the ©wrier/Engineer of
this project then this agreement shall become null and void and this project shall not be accepted by City of
Hickory Public Utilities Department for addition to the water or sewer systems for maintenance,
Thank you for your cooperation and assistance in completion of a successful project. Should you have any
questions or concerns, please do not hesitate to contacting City of Hickory Public Utilities Administration at
[phone].
Shawn Pennell
Assistant Public Services Director
ACCEPTANCE OF ALL TERMS AN O CONDITIONS DETAILED ABOVE FOR ADDITION TO CITY OF
HICKORY PWS AND/OR POTW.
PROJECT:
DEVELOPER OFFICIAL:
PRINT NAME,,
DATE:
ENGINEER:
PRINT NAME:
DATE:

STLAKE
ENGINEERING
October 39, 2020
Mooresville Regional Office
Water Quality Section
6io E. Center Avenue, #301
Mooresville, NC 28115
HECEVFDNCrPENRflWR
NOV I 2 2020
R OS
MOORE VILLE REGIONAI OFFICE
Project: Villas at Sherrills Ford
Project Location: Catawba County, North Carolina
Dear Sir or Madam,
EastLake Engineering, PLLC
470 N. Broad Street, Suite A
Mooresville, NC 28115
Ph: 865-816-4557
On behalf of the Hickory Public Works, please find attached the following:
1. One original and one copy of the Sat Track Sewer System Extension Applications (FTA-
04-16) Villas at Sherrills Ford,
2. Cover letter
3. Application .fee of $48o payable to North Carolina Department of Environmental Quality
(NCDEQ)
4. 8.5 x 11 USGS topographic map/Street level .rnap
5. One Original of VISE-to-18 — Flow Tracking for Sewer Applications
6. One Copy of Hickory Developers Agreement.
This project involves the construction of gravity sewer or 59 single family lots.
Please contact me with any questions/comments.
Sincerely,
"."'
Paul Carter, P.E.
President / Owner
Page I 1