WQ0042519_Application (FTSE)_20210513

B&F CONSULTING INC.
NCDEQ
Raleigh Regional Office
Via hand delivery
RE: Submittal
Riley's Meadow
Dear Reviewers:
10 May 2021
NC i7epartmenl: of
Emlirommerr'tal llualily
Received
Winstort-ralern
Rejorial (3 !'icp
Please find attached an application for a fast -track sewer permit. This application is for eight- and
ten-indi diameter sanitary sewer with an allocated flow of 144,000 gallons per day for Riley's
Meadow in Graham, NC.
In particular, please find:
1 Cover letter
1 Application fee for $$480.00
2 FTA 04-16 ((Driginal and one copy)
2 I PSE 04-16 (Flow tracking)
2 8.5 X 11 color copy of USGS topographic map
2 Street level snap
If I can provide additional information, please contact me.
Sincerely,
B & F Consulting
Russell Briggs, P.E.
NC DON of Environm®ntal Quality
MAY 10 2021
Raleigh Regional Office
2805 T013ERMORY LANE • RALEIGH, NORTH CAROLINA - 27606
ItUSSHI.I. HRIGGS, P.H.: PHONV.: 919. 618.01a0 I AX: 919.816, 9361 PIMA[], 13JS t21 (;_Q, ie;,,N (' I:R C(1,4L
AM141ai FA1URI41J..Y, P.li.0 PYIONL: 9t9-339.81112 I-AX: 919.467. 8827 LMAIL: APAsH1A IYUNC RR ('(1N1

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Numbe,&Q__1l__ �f (to he completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION;
I. Applicant's name: City of Graham, N.0 (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual Z Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Aaron Holland per 15A NCAC 02T .0106(b)
Title: Interim City Manager NC Dept OfEnvironmental Quality
4. Applicant's mailing address: 201 South Main Street
City: Graham State: N.C.. Zip: 27253-3301 MAY 10 2021
5. Applicant's contact information:
Phone number: [phone] Email Address: abollandna.ckyofgraham.com ei$�t Regional Office
11. PROJECT INFORMATION:
I. Project name: Riley's Mende
w rz` i-? ! erimelli o;'
ienvitur �t,� I lua'itr
2. Application/Project status: ®Proposed (New Permit) ❑ Existing Permit/Project L_criyi�_d
If a modification, provide the existing permit number: W000i and issued date:
If new construction but parr of amuster plan, provide the existing permit number: WQOO
3. County where project is located: Alamance
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.0485" Longitude; 79.343°
5, Parcel ID (if applicable): 152471 & 152456
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Russell Briggs License Number: 011889
Firm: B&F Consulting, Inc
Mailing address: 2805 Tobermory Lane, Raleigh NC 27606
City: Raleigh State: N.C.. Zip: 27606
Phone number: (91.9) 618.0180 Email Address: russell.briggs(g)bandreonsuiting.com
W. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: City of Graham Wastewater Treatment Plant Permit Number: NCO021211
Owner Name: City of Graham
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
L Permit Number(s): W00037007 Downstream (Receiving) Sewer Size: i8 inch
System Wide Collection System Permit Numberts) (if annl icable): WQCS00065
Owner Name(s): City of Graham
Winston-Salem
IiCEioral OFiee
FORM- FTA 04-16 Page I of 5

V1. GENERAL REQUIREMENTS
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. If the Applicant is a Developer of lots to be sold, has a Developer's Operational A g_eemmu (FORM, DEW) been attached?
Yes ®No ❑N/A
3. If the Applicant is a Home/Property Owners' Association has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater; (check all that apply):
® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: lQ_% Domestic/Commercial % Commercial
_% Industrial (See 15A NCAC 021 Ql03(20)
"Is Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 021' A 114(f)? ❑ Yes Z No
➢ It Yes, provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.Q114([i)
Daily Design Flow ""
No. of Units
Flow
400 units @ 3 Bedrooms/unit
360 gal/day
400
144,000 GPD
gal/day
GPD
gal/
GPD
gaV
GPD
gal/
GPD
gal/
GPD
Tots(
144,000 GPD
a See 15A NCAC 02T .01 14(b), (d), (e)f I ) and (e)(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 cast of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0I 14(c), design flow rates For establishments not identified [in table I5A NCAC: 02T.01 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
S. Wastewater generated by project: 144,000 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):
FORM: FTA 04-16 Page 2 of 5

VH. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T ,0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 8531 PVC
8 2881 DIP
A Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Y 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
VIIL 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;
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)i _ gallons per minute at _ feet total dynamic head (TDH)
5. Summarize the force main to be permitted (For this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability hi accordance with I JA NCAC 02T .0305(h)(l l:
❑ Standby power source or pump with automatic activation and telemetry - I SA NCAC 02T .0305(h)(1)(B)'.
D Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per clay
➢ 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 - 15A NCAC 02T .0305(h)(I)(C);
A 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,
PORN- PTA 04-16 Page 3 or5

IX. SETBACKS & SEPARATIONS —(02B .0200 & ISA NCAC 02T .0305(t)):
I. Does the project comply with all separations found in ISA NCAC 02T .0305 t &
15A NCAC 02T.0305(t) contains minimum senarations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains vertical -water over sewer including in benched trenches
18 inches
Wafer 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, $A, ORW, FIQW; 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.03051t1 cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webnage
➢ If noncompliance with 02T.0305M or (u). see Section X of this application
2: Does the project comply with separation requirements for wetlands? (50 feet or separation) ❑ Yes R No ❑ N/A
➢ Seethe 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? O Yes []No ❑ N/A
➢ This would include Trout Buffered Streams per IS NCAC 2BA202
4. Does the project require coverage/authorization under a 404 Nationwide or ® Yes ❑ No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0I05(c)6 (additional pennits/certifications)? ® Yes ❑ 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 021'.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.
0 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: PTA 04-16 Page 4 of 5

X. CERTIFICATION&
1, Does the submitted system comply with 15A NCAC 02T. the N(h li u it e i n Criteria for the Permitting of Pumn Stations
and Force Mains (latest version), and the Gravitv Scwor Minimum Design Criteria (latest version) as applicable?
1 Yes 0 No
IfNo, complete and submitthe Variance/Altemative Design Request application (VADC 10=14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fist Track Application and supporting documents
2. Professional Engineer's Certification:
I, Russell Briggs, P.E. attest that this application For
(Professional Engineer's name from Application Item I IL 1.)
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 Primp 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 143-215.613, 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 vioiatioRyseuttre..
North Carolina Professional Engineer's seat, signature, and date:
zI
3. Applicant's Certification per 1.5A NCAC 02T .0106(b):
I, Aaron Holland, Interim City Manager attest that this application for
(Signature Authority's name & title from Application Item i 3 )
has boon 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 reo med as incomplete. I understand that any discharge of wastewater from this
non -discharge system to surface waters or the ]arid will result in an immediate enforcement action that may include civil
penalties,lpjunctive relief, and/or criminal prosecution. I will make no claim against the Division ofwater Resources should a
condition of this permit be violated. I also understand that if all required parts of this application package art not
completed and that if all required supporting 1 iformation 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 143.215.60, 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 aJ{ffii}'ne not to exceed $10,006 as well as civil penalties up to $25,000. per'violation, �I
Signature: //f t �S Date: F/I zI
FORM: FTA 04-16 Page 5 of 5

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 Graham
Project Name for which flow is being requested: Riley's Meadow
More than one FTSE maybe required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewaterflow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: City of Graham WWTP
b. WWTP Facility Permit #: NC 0021211
All flows are in MGD
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
06111
1.06
1.903
.144
2.959
85%
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, *
(Firm / pfl,
Avg. Daily
Daily Plow,
Obligated
Available
Number)
No.
MGD
MGD
Flow, MGD
MGD
Flow
Capacity***
Cherry
r „„�
2.5
1.0
.0179
.293
.311
.697
* 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
(pt) 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 (Sewer): AICDZ Outfall
Downstream Permit Number: WO 0037007
Page 1 of 6
❑IrQ V 1 IN 1 v

III. Certification Statement:
I Aaron Holland 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 tinder 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 1
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
Title of Signing
Date
Page 2 of 6
rmar. In 10

Q Project Study Area
Location and extent is approximate.
1 0 1000 2000
Feet
Source: 2011 National Geographic Society/ESFU,
icubed seamless USGS quadrangles (Mebane,
NC); Prated Study Area approximated by ESI
based on Alamance County Parcel Data.
ENVIRONMENTAL Project Location
SERVICES, INC. j.
.1w.m.w AN. .
„r Scott Property
Alamance County, North Carolina
MCape Fear
Date: Apr 2020
Drwh/Chkd:
CW/JH
11
Figurer
1

aoket
Flying J
1941
x
5�
5z
vel Center
1449 il410
lance
R
STREET LOCATION FOR
RILEY'S MEADOW SUBDIVISION
(GOGGLE MAPPING - N.T.S.)

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END AERIAL
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,24 FEET
„
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PLANS PREPARED BY:
B&F CONSULTING, INC.
2805 TOBERMORY LANE
RALEIGH, NC 27606
PHONE: [phone]
LICENSE NO: C-2149
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PROPOSED SEWER
CONNECTION
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BEGIN AERIAL
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INV IN 516.19
INV OUT 516.04
AERIAL S
LOCAT40
VICINITY MAP N.T.S.
RILEY'S�+MEADOW EXHIBIT FOR
HIGH PRIORITY
SEWER
DATED: MAY 3, 2021
SCALE:1"=60'
PRELIMINARY - DO NOT
USE FOR CONSTRUCTION

545
540
0
o
,,535
N
TO PROTE
T FROM EXPAN
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ai Ld
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NOTES:
1. RESTRAINED
JOINT PIPE
WILL BE CENTER
DON CONCRETE
PIERS
CONCRETE
PIERS WILL BE N
IAXIMUM 40 FT. O
CENTER
2. FOOTI
GS FOR CONCRE
E PIERS SHALL
E PLACED ON STABLE
SUBGRADE
APPROVE
BY THE GEOTE
HNICAL ENGINEER.
TOP OF ALL FOOTINGS
SHALL
BE AT LEA
T 18" BELOW GR
DE. STABILIZATION
STONE SHALL
BE USED WHEN
GROUND
TER IS ENCOUNTERED
DURING F
OTING INSTALL
TION.(12" MIN)
510
17+00 +50 18+00
+50 19+00
+50 20+00
PLANS PREPARED BY:
B&F CONSULTING, INC.
2805 TOBERMORY LANE
RALEIGH, NC 27606
PHONE: [phone]
LICENSE NO: C-2149
RILEY'S MEADOW EXHIBIT FOR
HIGH PRIORITY
SEWER
DATED: MAY 3, 2021
Lti SCALE: 1 "=50'
PRELIMINARY - DO NOT
USE FOR CONSTRUCTION