WQ0023072_Application (FTSE)_20030910

09/16/03
Permit Number WQ0023072 Permit Tracking Slip
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
Extensions
Primary Reviewer
grady.dobson
Permitted Flow
1200
Facility
Fast Track
Status Project Type
In review New Project
Version Permit Classification
Individual
Permit Contact Affiliation
Facility Name
Roy Road Sewer Extension
Location Address
Owner
Major/Minor
Minor
Region
Fayetteville
County
Harnett
Facility Contact Affiliation
Owner Name
Town of Angier
Dates/Events
Owner Type
Government - Municipal
Owner Affiliation
Coley Price
Post Office Box 278
Angier
NC 27501
Scheduled
Orig Issue App Received Draft Initiated Issuance
09/10/03
Regulated Activities
Public Notice Issue Effective
Subdivision
Outfall NULL
Requested/Received Events
Expiration
Additional information requested
Additional information received
Waterbody Name Stream Index Number
Current Class Subbasin

''AST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 3
A APPLICATION INFORMATION
USE THE TAB KEY rO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ) lit'
1. Owner:
1 a. Town of Angier, North Carolina
Full Legal Name (company, municipality, HOA, utility, etc.)
lb. Coley Price, Town Manager
Signing Official Name and Title (Please review 15A NCAC 2H .0206(h) for authorized signing officials!)
1c. The legal entity who will own this system is:
❑ Individual ❑ Federal X Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
1 d. Post Office Box 278 1 e. Angier
Street Address City
if. North Carolina 1 g. 27501
State Zip Code
lh. 919-639-2071 1 i. 919-639-6130 1 j. cpriceC ngier.org
Telephone Facsimile E-mail
2. Project (Facility) information:
2a. Roy Road Sewer Extension 2b. Harnett
Brief Project Name (permit will reefer to this name)
3. Contact Person:
3a. William W. Dreitzler, P.E.
County Where Project is Located
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 919-834-1113 3c. bdreitzler@mindspring,com
Phone Number E-mail
1. Project is X New ❑ Modification (of an existing permit) If Modification, Permit No.:
For modifications, attach a separate sheet clearly explaining the reason for the modification (I.e. adding another
phase, changing line size/length, etc.). Only include the modified information In this permit application - do not
duplicate project information in B(7) and B(10-11) that has already been Included in the original permit.
2. Owner is X Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a, If private, applicant will be: 2b. If sold, facilities owned by a (must choose j)
Town of Angier
Post Office Box 278
Angier, North Carolina 27501
919-639-2071
FIRST CITIZENS BANK
ANGIER, NC 27501
66-30/531
001
PAY EXACTLY DOLLARS AND CENTS
w a ooa
volD AFTER 60 DAYS
No. 15973
AMOUNT
***Four Hundred Dollars & 00/100*** 9-4-03 15973 ***400.00***
P
TO
THE
ORDER
OF
NCDENR
1617 Mail Service Center
Raleigh, NC 27699
THIS DISBURSEMENT HAS BEEN APPROVED AS REQUIRED BY
THE LOCAL GOVERNMENT A • ISCAL CONTROL ACT
1,00Atbd
MAYOR

riow rids alt5auy teen avecavec in rennet r o.
❑ Rehabilitation or replacement of existing sewer with no new flow expected
FINANCE OFFICER
FTA 02/03 - Rev. 1 06/03

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE
.
1SEP 1 0 2003
D1\`C
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
FAST -TRACK APPLICATION
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure sewers systems are not to be included as part of this application package)
INSTRUCTIONS: indicate that you have included the following list of required application package items by checking the
space provided next to each item. Failure to submit all required items will lead to your application being returned as
incomplete or additional processing and review time. This form may be photocopied for use as an original.
X I. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. Any changes to this form will result in the application being returned. The Division of Water Quality
(Division) will only accept application packages that have been fully completed with all applicable items
addressed. You do not need try submit detailed plans and specifications unless you respond NO to Item B(121.
X II. Application Fee - Submit a check in the amount of $400 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR).
Ir. Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a
privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN)
whicri demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the
CPCN or letter must match that provided in Item A(2a) of this application.
✓ _ IV. Operational Agreements — Submit one original and two copies of a properly executed operational agreement if
the sewer extension is permitted by a private applicant and will be serving residential or commercial lots (e.g.,
houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If the applicant is a
homeowners' association, use Form HOA 02/03. If the applicant is a developer, use Form DEV 02/03. EVEN IF
THE PROJECT WILL BE TURNED OVER TO A MUNICIPALITY, FORM DEV 02/03 IS REQUIRED.
[l V. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF, if different.
Flow acceptance letters must contain the following minimum information: applicant and project name, amount of
flow accepted. and name and permit number of the receiving sewers/VVWTF. The flow acceptance must not
expire prior to permit issuance and must be dated less than a year prior to the application date.
Iritergovernmentai agreements or ether contracts will not be accepted in lieu of a project -specific flow acceptance
letter.
71
X VI. Map — Submit an 8.5-inch by 11-inch COLOR copy of the portion of a 7.5-minute USGS Topographic Map along
with th:s form. The map should identify the entire project area location as well as the closest downslope surface
waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified
location of the sewer line and pump stations, and be of clear and reproducible quality. For instance, if the project
involves 4 miles of interceptor sewer that traverses over or near several different waterbodies (or counties,
basins, etc.), the map should have location ID's shown for each different waterbody (where the sewer line is within
100 feet of such waterbody - see Instruction ViI). This location ID is self chosen and used to cross reference the
iocatiort in Section C of the permit application.
X VII. Stream Classifications — Section C
• If any portion of the project is within 100 feet of any down slope surface water, Section C must be completed
for the pertinent sections.
• If the entire project area is a minimum of 100 feet away from any down scope surface waters BUT there is a
pump station involved where a history of power outage is to be used to provide adequate design storage
instead of dual feed or permanent or portable generator, Section C must be completed to demonstrate that
the closest down slope surface water is Class C (see 15A NCAC 2H .0219(h)(3)(D)).
• Use the guidance document entitled, "Determining Watershed Classifications for Form FTA 02/03 (Fast -Track
Sewer Systems)" available from http:!/h2o.enr.state.nc.us/ndpu or by contacting the appropriate regional
office.
FTA 02/03 - Rev. 1 06/03

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 2
i ] VIII. Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
01C .05001, this application can not be used. Send the project application on Form PSFMGSA 10/99 to the
Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. Applications can not be
processed until a Finding of No Significant Impact (FONSi) or Environmental Impact Statement (EIS) has been
issued. A copy is to be submitted with that permit application,
X IX. Certifications — Section D
The application must be certified by both the applicant and a North Carolina Registered Professional Engineer
(PE). The applicant signature must match the signing official listed in item A(1b). The PE should NOT certify the
application if he/she is unfamiliar with 15A NCAC 2H .0200, the Gravity Sewer Minimum Design Criteria (most
recent version) and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
(most recent version), as applicable to the project. Certification by a PE who is unfamiliar with these documents
is subject to NC Board referral.
THE COMPLETED FTA 02/03 APPLICATION PACKAGE, INCLUDING ALL. SUPPORTING DOCUMENTS AND 5400
FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
59 Woodfin Place
Asheville, North Carolina 28801
[phone]
[phone] Fax
I Avery, Buncombe, Burke, Caldwell,
Cherokee, Clay, Graham, Haywood,
Henderson, Jackson, Macon,
Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania,
Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Fayetteville, North Carolina 28301
[phone]
[phone] Fax
Anson, Bladen, Cumberland, Harnett, 1
Hoke, Montgomery, Moore, Robeson,
Richmond, Sampson, Scotland
Mooresville Regional Office
919 N Main Street
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba,
Cleveland, Gaston, iredell, Lincoln,
Mecklenburg, Rowan, Stanly, Union
Raleigh Regional Office
1628 Mail Service Centerg
Raleigh,
Raleigh, North Carolina 27699-1628
571-4700
(919)[phone] Fax
Chatham,Durham, Edgecombe,
Franklin, Granville, Halifax, Johnston,
Lee, Nash, Northampton, Orange,
Person, Vance, Wake, Warren,
Wilson
Washington Regional Office
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
Beaufort, Bertie, Camden, Chowan,
Craven, Currituck, Dare, Gates,
Greene, Hertford, Hyde, Jones,
Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington,
Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington. North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, Columbus,
Duplin, New Hanover, Onslow,
Pender
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, North Carolina 27107
[phone]
[phone] Fax
Alamance, Allegheny, Ashe, Caswell,
Davidson, Davie, Forsyth, Guilford,
Rockingham, Randolph, Stokes,
Surry, Watauga, Wilkes, Yadkin
For more information, visit our web site at: http://h2o.enr.state.nc.us/ndpu/
FTA 02/03 - Rev. 1 06/03

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 3
USE THE TAB KEY TO MOVE FROM FIELD TO FIELDI z Application Number: "�—
______."__ —
1. Owner: — (to be completed by DWQ)
—
1 a. Town of Angier, North Carolina
Full Legal Name (company, municipality, HOA, utility, etc.)
lb. _Coley Price, Town Manager
Signing Official Narne and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
lc. The legal entity who will own this system is:
❑ Individual ❑ Federal X Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
ld. Post Office Box 278 1 e. Angier
Street Address City
A APPLICATION INFORMATION
B. PERMIT INFORMATION
1f. North Carolina 1g. 27501
State
Zip Code
1h. 919-639-2071 1i. 919-639-6130 1j. cpriceQangier.org
Telephone Facsimile E-mail
2. Project (Facility) Information:
2a. Roy Road Sewer Extension 2b. Harnett
Brief Project Name (permit will refer to this name) County Where Project is Located
3. Contact Person:
3a. William W. Dreitzler, P.E.
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 919.834-1113 3c. [e-mail]
Phone Number
E-mail
1. Project is X New ❑ Modification (of an existing permit) If Modification, Permit No.:
For modifications, attach a separate sheet clearly explaining the reason for the modification (I.e. adding another
phase, changing line sizeiiength, etc.). Only include the modified information In this permit application - do not
duplicate project information in B(7) and B(10-11) that has already been Included in the original permit.
2. Owner is X Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a. If private, applicant will be: 2b. If sold, facilities owned by a (must choose one)
❑ Retaining Ownership (i.e. store, church, single office, etc.) or ❑ Public Utility (Instruction III)
❑ Leasing units (lots, townhomes, etc. - skip to Item E313)) ❑ Homeowner Assoc./Developer (Instruction iv)
❑ Selling units (cots, townhomes, etc. - go to Item B(2b))
3.
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a. Town of Angier WWTP 4b. NC0082597
Name of WWTF _ WWTF Permit No.
5a. 7ow'n oiAngier —'�—^^ 12-inch diameter
Owner of Downstream Sewer • ReceivingSewer Size Permit Number of Downstream Sewer (If
f
6. The origin of this wastewater is (check all that apply).
.... ................
X Residential Subdivision ❑ Car Wash
[j Apartments/Condorniniums ❑ Institution
Mobile Home Park ❑ Hospital
0 School ❑ Church
❑ Restaurant 0 Nursing Home
❑ Office ❑ Other (specify):
/Cif % Domestic/Commercial
Industrial
% Other (specify):
7. Volume of wastewater IQ perrnittesi in this project: 120Q gallons per day
........ ..... .
8. if the permitted flow is zero, indicate why:
❑ Interceptor Line - Flow will be permitted is subsequent permits that connect to this line
17 Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected
FTA 02/03 - Rev. 1 06/03

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 4
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
0219(1) for item B(7) or the resign flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(1)(1-2) must be approved prior to submittal of this application. Submit a separate request to
the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in
accordance with 15A NCAC 2H .0219(1)(3).
3 existing residential homes X 400 gpd/residence = 1,200 gpd
'10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet)
8-inches dia
Gravity or Force Maln
(use the pull down menu)
302 If gravity
CI
W
Z
h
Z
0
U
Z ENTER TOTAL LINE LENGTH IN MILES .
0
Q11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
Location ID Power Reliability Option
Ce (self chosen - as shown on Design Flow Operational Point (1- dual line feed; 2- permanent generator w/ATS; 3-
0 plans for cross-reference) (MGD) GPM © TDH portable generator w/telemetry; 4-wet well storage)
LL.
Z
1-
W
CL 12. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable?
X Yes ❑ No If no, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested:
SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
13. Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No X N/A
Sedimentation and Erosion Control Plan? ❑ Yes ❑ No X N/A
Storrnwater? [] Yes O No X N/A
FTA 02/03 - Rev. 1 06/03

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 5
C. STREAM CLASSIFICATION
D. CERTIFICATIONS
1. Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as?
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office (see instructions for addresses) QB indicate the following:
A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope
waterbody; AND,
❑ A Stream Classification is not needed because the design does not depend on wet well sto
option for any pump station near a Class C down slope waterbody. rage as a power reliability
Location ID on Map
(self chosen -as shown on Name of Waterbody Stream Waterbody
map for cross-reference) Walerbody County River Basin index Classification
Sewer Connection West Bules Creek Hamett Cape Fear 18-18-2-(1) c
Submit the 8.5" x 11" COLOR topographic map as required in Instruction VI
regardless of whether a classification Is provided!
Applicant's Certification:
1, Coley Price, Town Manager, attest that this application for Roy Road Sewer Extension 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. Note: In accordance with North Carolina General Statutes 143-
215.6A and 143-215.68, any person who knowingly makes any false statement, representation, or certification in any
application shall be guilty of e Class 2 misdemeanor which may include a fine not to exceed $70,000 as well as civil
penalties up to $25 00 per violation.
la.
Signing Official Signature
2. Professional Engineer's Certification:
i attest that this application for Roy Road Sewer Extension has been reviewed by me and is accurate, complete and
consistent with the information in the engineering plans, 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 regulattions, Gravity Sewer Minimum Design Criteria for Gravity Sewers adopted February 12, 1996,
and the Minimum Design Critena for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000
and the watershed classification in accordance with Division guidance. Although certain portions of this submittal package
may have been developed by other professionals, 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 NC
General Statutes 143-215.6A and 143-215.68, any person who knowingly makes any false statement, representation, or
certification ir7 any application 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.
9r-n3
2a. William W. Dreu zIer, P.E.
Professional Engineer Name
2b. Marlowe, Dreltzler & Associates
Engineering Firm
2c. 211 East Six Forks Road, Suite 203
Address
2d. Rsleiti
2e. N.C. 2f. 27609
City State Zip
2.g. 010 834-1113 2h. 919-634-0000 21. Bareitziereminds�sing.com
Telephone Facsimile E-mail
Date
FTA 02/03 - Rev. 106103

MARLOWE, DREITZLER & ASSOCIATES
Consulting Engineers
211 East Six Forks Road, Suite 203
Raleigh, N.C. 27609
September 8, 2003
N.C. Department of Environment and Natural Resources
Division of Water Quality
Fayetteville Regional Office
Non -Discharge Permitting Unit
225 Green Street
Suite 714
Fayetteville, N.C. 28301
919 334-1113
919-834-6060 (Fax)
I 0 '103 I
Reference: Roy Road Sewer Extension: Angier, North Carolina
FTA 02/03 Application
Dear Sirs:
Please find attached one (1) original and one (1) copy of the Non -Discharge Permit
Application (FTA 02/03 — Rev. 1 06/03), and a $400.00 check for the permit processing
fee. The project shall provide a 302 linear foot extension to the Town of Angier
Wastewater Collection System.
The extension is being completed to address a failing septic tank at a residence along Roy
Road. In addition to the residence with the septic tank issues, two other homes will be
allowed access to the extension. If you have any questions or if you require any additional
information, please contact me at your convenience.
Sincerely,
M OWE, DREITZLER & ASSOCIATES
1, -1);;
�j.
William W. Dreitzler, P.E.
Partner
Director of Engineering Services
cc: Mr. Jimmy Cook, Public Works Director, Town of Angier