WQ0041528_Regional Office Historical File Pre 2018

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 EXTENSIONAPPLICATION
['TA 04-16 & SUPPORTING DOCUMENTATION
Application Number;
(t
be compeled by DWR)
MI items must be completed or the application will be returned
!,,i'411: E rvEryNC.DENRIDWR
I. APPLICANT INFORMATION:
I. Applicant's name: City of Shelby (company, municipality, HOA, utility, etc.)
Applicant t pe E Individual E Corporation Ej General Partnership E Privately -Owned Public Utility
Federal
E State/County [ Municipal
Signature authority's name: Rick Hoe11 per 15A_NCAC,,02110l06thj
Title; j,j,j3ager
a
4, Applicant's mailing address: PO BOX 207
City: Shelby State: NC Zip; 28151-0207
5. Applicant's contact information:
Phone number: [phone] .Email ,Address: rick,howeltdcityolshety,com
E Other
11. PROJECT INFORMATION:
I. Project name: Plato Lee Rd Shell Building 43
2. ApplicationiProject status: Z Proposed (New .Permit) El Existing Permit Project
If a modification, provide the existing permit number: WOO° and issued date:
If new construction hut part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Cleveland
4. Approximate Coordinates (Decima) Degrees): Latitude: 35„3.1' Longitude: -8E62'
Parcel ID (,if applicable): 58557
(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
I. Professional Engineer: Scott Bur.vell License Number: 039177
Firm: McGill Associates
Mailing address: 55 Broad Street
City; Asheville State: NC Zip: 28801-
Phone number: [phone] Email Address: scomburwel144mcgillassociates.corn
IV. WASTEWATER TREATMENT FACILEVY (WWTF) INFORMATION:
I, Facility Name; First Broad Wastewater Treatment Plant Permit Number: NC00024538
Owner Name: Citv of Shelby
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than NNAVEF):
1 Permit Number(s): WQ0007780 Downstream (Receiving) Sewer Size: 15 inch
System Wide Collection SYSteill Permit Numbetisj Lilapplicablej: WOCS
Owner Name( s): City of Shelby
FORM: PTA 04-16 Page 1 of 5

VI. GENERAL REQUI.REMENTS
1. If the ;Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
Yes
,No
N/A
2,. tithe Applica. Isa Developer of lots to he sold, has a Developer's Qperational Agreement 0ORN1, DEIj heen attached?
0 Yes ENo N/A
3; If the Applicant is a i.tne/Propertv OwnersAssociation. has an ational Agreement IL:ORM: HOA been attached?
0 Yes flNo N/r-
4. Origin of wastewater: (check all that apply):
'Residential Owned
0 Residential Leased.
Ej School / preschool / day care
0 Food and drink facilities
E] Businesses oftic.'es fitctories
0 Retail (stores, centers, malls)
Retail with food preparationlsery
Ej Medical dental / veterinary' 'facilities
D Church
El Nursing Home
5. Nature of asttater wastewaterDomestic/Commercial I 00?../0 Comniercial
% lirt.clustrial (See 1.5A NCA(' 02T .0103(20))
s there a Pretreatment Program in effect'?
6. flas a flow reduction been approved under 15,A NC.,\ C., 021 .0 14(1)?
i;•• lives, provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type see 02T,0114(
Businesses/offices/factories
Daily Design Flow "ih
25 gallemployeelshift
eal
LI Car Wash
0 Hotel and/or Motels
Swimming Pool /Clubhouse
El Swimming Pool Filter Backwash
0 Other (Explain in Attachment)
e
0(
p oyees
27,500 GPI)
(iPD
gal/
GPD
eal
CiPD
gall
GPI)
gal;
GPD
GPD
a See I.5A NCAC 0.2T .0114(b), (d), (e)( l) and (0(2) for caveats to wastewater design flow rates (i.e., niinirnuni 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 ( 42A-4).
b Per 15;A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15.,,N, NCAC 02:T.0114j shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by -project: 27.500 GPD (per (.5,A_NcXL()) I:1)
Do not include future flows Or previously permitted allocations
If permitted flow is zero, indicate why:
0 Pump Station or Gravity Sewer where 'flow will be permitted in subsequent permits that connect to this line
fl Flow has already heen allocated in Permit Number:
0 Rehabilitation or replacement of existing sewer with no new flow expected
0 Other (Explain):
FORM: ETA 04-16
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & DC (Gravity Sewers):
Summarize gravity sewer to he permitted:
Size (it h
8
132
8
585
Material
DIP
PVC
• Section El et III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Section 11 contains information related to minimum slopes for gravity seer(s)
Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
PUMP STATION DESIGNCRITERIA Of Applicable) — 021.0305 & MDC .(Poino Stations/Force Mains):
COMPLETE FOR EACH PUMPSTATION INCLUDED IN THIS PROJECT
Pump station nutnber or name:
2, Approximate Coordinates (Decimal Degrees): Latitude Longitude: -
Design flow of the pump station: millions gallons per day - . capacity)
4, Operational point(s) of the pump(,$): gallons per minute at feet total dynamic head (IDIA)
5, Summarize the force main to be permitted (for this Pump Station):
Size ches) Length (feet)
Material
6. Power reliability in accordance with 15,A 0.,711,93 ahiol:
• Standby power source or pump with automatic activation and telemetry - I 5A \CAC 02 r .0305(0( l )(By
• 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:
[I] Portable poser source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02'T
.0305(10 1)(C)
or
• Portable pumping unit with plugged emergency pump connection and telemetry - 15A .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,
▪ lithe portable power source or pump is dedicated to multiple pump stations, an evaluation of all the purnp stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel titneframes, shall be provided
in the case of a multiple station power outage.
FORM: FLA 04-16
Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15ANCAC 02T .03050Di
1, Does the project comply with all separations found in 15A 'NCAC 02T .0.305(f) &
I.5A NCAC 02T.0305(0 contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Storm sewers and other utilities not listed below (vertical)
\later mains (vertical -water over sewer including in benchedtrenches)
Vater mains (horizontal)
Reclairned wa - reclaimed over s
airned water fines (horizontal - recaimed over sewer)
L'61'
e
a
**An private or public water supply source, including a,nywells. WS-1 waters of Class 1 or
Class II impounded reservoirs used as a source of drinking water
*Waters classified WS (except V or WS-V), B, SA, ORW, .1-1QW. or SB from normal
igh water tor tide elevation) and wetlands (see item IX.2)
**Any other stream, lake, .impoundment. or ground water lowering and surface drainage
ditches
Yes Ei No
24 inches
feet
1 inches
2 feet
100 feet
50 feet
y building found.. '
Any basement
Top slope ofemhankrnent or cuts ot 2 feet or more ertical heigt
Drainais.e
Any swimming pools
nd interc
Final earth grade (vertical)
r drains
t
[0 feet
10 feet
5 feet
36 inches
15 \ NCA.0 02T.0305(g) contains alternatives where separations in 01'1".010,5(1) cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Water Classifications we page
If noncompliance with 02T,0305fin or (g), see Section X of this application
Does the project comply with separation requirements for wetlands? (50 feet of separation) N. Yes
• See the Division's draft separation requirements for situations where separation cannot be meet
• 'so variance is required if the alternative design criteria specifiedis utilized in design and construction
As huilt documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per ISA V.AC 02B .0200?
This would include Trout Buffered Streams per 15A NCAC213,020?.
4. Does the project require coverage/authorization under a 404 Nationwide or
individual permits or 401 Water Quality Certifications?
Information can he obtained from the 401 &„ Buller Perinittin&Dratub
Z Yes
No
No
N/A
5. Does project comply with 15A. NCAC 02T.0 10510(() (additional permits/certifications)? El Yes LJ No
Per 15A. NCAC 02'T. , 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 ISA NCAC 02'1,0402, "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,
Ej Yes No N/A
• If yes, include an attachment with details for each inc.lincluding type (aerial line, size, material, and location).
High priority lines shall be inspected by the perm ittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the perm itee's individual System -Wide Collection permit.
FORM: .FTA 04-16
Page 4 of 5

X. CERTIFICATIONS:
Does the submitted system comply with I.5,A NCAC 021„ the Minimum Design CriteriaJ rjhPei I11itti ng of Pump Stations
and Force Atams (latest V eri, and the Gravity „Sewer Minimum Design Criteria liatest version as applicable?
Z Yes El No
If No, complete and submit the Variance/Alternative Design Request application (VADC.1014) and supporting documents for
re -view. Approval of the request is required prior to submittal of the Fast Track Application and supporting documents,
2. Professional Engineer's Certification:
1.-44 r attest that this application for
(Professional Engineer's name from Application Item IFLI.)
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 tbr the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittalpackage, 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 he guilty of a Class 2 misdemeanor, which may
include a fine not to exceed 510,000, as Wel I as civil penalties up to 525.000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Certification per 15A NCAC 02'l' .0106(b):
Rick Howell, City Manager
(Signature Authority's name & title from Applicatio
cLO
"1-41t
attest that 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 it' 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 systetn to surface waters or the land will result in an immediate enforcement action that ma.y include civil penalties,
injunctive relief, andlor criminal prosecution. I will 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 that if
all required supporting infomiation 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 F43-215.613, 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 well as civil penalties up to $25,000 per violation.
Signature:
FORM: ETA 04-16 Page 5 of 5

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-1.8)
Entity Requesting Allocation: First Broad River WWTP
Project Name for which flow is being requested: Plato Lee Rd Shell Building .43
More than one FTSE may be required for a single project if the owner of the WWI -Pis not responsible for all pump
stations along the route of the proposed wastewater
• Complete this section only if you are the owner of the Wastewa te r treatment plant.
a. \NIWIP Facility Name: First Broad River WWTP.
b. WWTP Facility Permit #: NC00024538
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the \\TWIT
e. W \A/TP facility's actual avg. flow
f. To ta :flow for this specific request
g. Total actual and obligated flows to the .facility
h. Percent of permitted. flow used
Allflmvs are in MGD
6.0
0.620
3.6
0.0275.
4.25
71 %
fl. 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 W
(A) (B) (( ) (D)----(B+C) (F)—(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Smtion Firm Daily How** Current Tributary Flow Plus
("Name or Permit Capacity, '' (Firm I p1), A.vg. Daily Daily Flow, Obligated Available
Number) No, MGD MGD Flow, M.GD MGD Flow Capacity*"
Westside 4.896 1.958 0.977 0.511 1.488 0.470
* The Firm Capacity (design flow) 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 < 0,
Downstream Facility Name (Se ): Shelby
Downstream Permit Number: WQ0007780
Page 1 of
.FTSE 10-18

,ertaicati rn ttenter
Rick Howell
certify to the best of r n kno°lede that the addition
the volume otNV astewate permit tetf ire this project has been r aluated along the route to the recei
wastewater treatment facility and that t:he.. fiov from this project is not anticipated to cause any ca ac
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the higplententatiort of the planned irrrpro =events
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 11 plus all attached planning assessment addendums for NVhich 1
arr the responsible party. Signature of this form certifies that the receiving collection system or treatment
ssorks has adequate capacity to transport and treat the proposed new wastewater.
City Manager
TillTille of Signing Dieu
Page 01` 6

Tuvia, Ori A
From:
Sent:
To:
Subject:
Ori,
Scott Burwell <Scott.Burwell mcgiilass©c'iates.com>
Friday, March 20, 2020 9:51 AM
Tuvia, Ori A
[External] RE; Plato Lee Rd. Fast track application
Yes, it is a new sewer line to serve the proposed Shell Building. Let rt e know it you have any other questions or need
anything else,
Thanks!
From: Tuvia, Ori A <ori.tuvia@ncdenr,gov>
Sent: Friday, March 20, 2020 9:18 AM
To: Scott Burwell <[e-mail]>
Subject: Plato Lee Rd. Fast track application
Good morning scott,
The subject project application mentions in the cover letter that this will' be an addition, I wanted to verify this project
will be a new sewer line and not a modification to an existing one.
Sincerely,
Ori

PLAN
250 500
PHIC SCALE DIVISION VALUE = 500 FEET
ATE
JANUARY 202'
PROJECT MANAG
BURWELL LEVELAND COUNTY, NORTH CAROLINA
PLATO LEE RD
SHELL BUILDING #3
CITY OF SHELBY
USGS QUADMAP
SHEET
EX-1

2:hi PM ADAM WALD
ffi
t
LATO LEE tECLISTRiAL P
P :2019,,19.0CP53-UHELBY
'• - " sm.romi4;41121162241
(7n7n)
Brrhel
tr4.9,Nan,10dat,11.C.Ctn
PLATO LEE RD
SHELL BUILDING #3
CITY OF SHELBY

mcgil
March 6, 2020
Mr, Corey Basinger
610 E Center Avenue
Mooresville, North Carolina 28115
RE: Fast Track Sewer System Application
Plato Lee Rd Shell Building #3
City of Shelby
Cleveland County, North Carolina
Dear Mr. Basinger:
Shaping Commilnities Toqth
On behalf of the City of Shelby, please find enclosed the Fast Track Sewer System Extension
Application. This project involves the addition of 132 linear feet of ductile iron pipe and 585
linear feet of PVC sewer pipe to serve the proposed Plato Lee Rd Shell Building #3. The total
flow for this request is 0,027 million gallons per day. The following information is included with
the submittal:
• One (1) Original and One (1) copy of the Fast Track Sewer System Extension
Application
• One (1) Original and One (1) copy of the Flow Tracking for Sewer Extension Application
• $480 Application fee
• One (1) copy of USGS Topographic Map
• One (1) copy of Street Level Map
I trust this submittal is satisfactory and look forward to your approval. If you have any questions
or require additional information, please feel free to call.
Sincerely,
McGILL ASSOCIATES, P.A.
SCOTT BURWELL, PE
Project Manager
CC: Ben Yarboro, City of Shelby (via email)
P:12019\ 1900153-ShelbyNC-Plato Lee Industrial Park \Design\Permits\Sewer Fast Track\20-0306-Cover Letter,docx
MCGILL, ASSOCIATES 55 BROAD STREET, ASHEVILLE, 288011 828252,05', 5 1 MCGH„LASSOCIATES,COM