WQ0041227_Regional Office Historical File Pre 2018

DivIskm of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
I.5A. NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number WC
7 (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
I.. Applicant's name: NW Lake Wylie LLC (company, municipality, BOA, utility', etc.)
2. Applicant type: 0 Individual Corporation 0 General Partnership
El Federal.
7 State/County Municipal
3. Signature, auth ty's name: Steven . n.shaw per I 5A N.CC 02T ..0106(b)
Title: Member
4. Applicant's mailing address: 4, 3 S,. Sharon Amity Road.
City: Charlotte State: NC Zip: 28211.-
5, Applicant's contact information:
Phone number: (704) 650-6'176 Email Address: stevena,hinsh.awproperties.com
PROJECT INFORMATION:
I. Project name: The Marina at Mc •
,an
PECENEDINCMNR;DWR
vvavio
mooNEs\hi LE REGfONA,1„, OER;E
0 Privately -Owned Public Utility
0 Other
2 Application/Project status: 0 Proposed (New Permit) Li 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 exstin.
3. County where project is located: Gaston
4, Approximate Coordinates (Decimal Degrees): Latitude: .35A 53" Longitude: -81:057"
5. Parcel ID (if applicable): 358-156-4727. 3.58-16779473
(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
I, Professional Engineer: Robert E. Tripp. IV
Firm: Merrick 84 Company
Mailing address: 300 S McDowell St Suite 300
City: Charlotte State: NC Zip: 28204-
Phone number: [phone] Email Address: robertitrippmerrick.com
permit number: WQ00
License Number: NC 29933
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: cirtv.9113elmo.nt WWTP Permit Number: NCO() 1181
Owner Name: City of Belmont
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. 'Permit Number(s) : WQ0037_61.2 Downstream (R.eceiving) Sewer 'Size: inch
System Widc Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): City of 'Belmont
FORM: FTA 04-16 Page 1 of 5

VI. GENERAL REQUIREMENTS
• I lithe "'Applicant is a Privately -Owned Public Utility. has 'a Certificate of Public Convenience and Nec.., been attaA ed?
0 Yes No NIA
It' the Applicant is a Developer of lots to be sold, has a Developer's ( )perational A greenlett 1 t1J.,),EA,;11 hcen attached
0 Yes 0No ZN/A
3, If the Applicant is a Home/Property as" .Association, has an Operational Agreement (1(..)R M. been attached!
El Yes 'No EN!IA
4. Origin of wastewater: (check all that apply):
0 Residential Owned
0 Residential Leased
El School preschool / day care
Food and drink facilities
Z Businesses / offices factor
es
jJ Retail (stores, centers., malls)
0 'Retail 'with food preparation/service
0 Medical / dental / veterinary facilities
D Church
fl Nursing Home
5, Nature of wastewater 100 % Domestic/Commercial 0 Commercial
(f-l) Industrial (See 15A NC.AI,C 02/1" .0 03L2t11)
0 Car Wash
0 Hotel and/or Motels
0 Swimming Pool "Clubhouse
0 Swimming Pool Filter Backwash
0 Other (Explain in Attachment)
>Is there a .Pretreatment Program in effect? El Yes
C. Has a flow reduction been approved under I 5,A NCAC 02T ,00 IAI)? 0 Yes No
lives, providea copy (Allow reduction approval 'letter
7! Summarize wastewater g.enerated by project:
Establishment 'Type (see 02T.0114(f)
Ship Store (Generallofficel
Restaurant - Full service
Niarina (WI bathhouse)
Daily Design Flow Lb
25 galiday
No
No. of Units Flow
4 100 GPI)
40 gal cat
30 gal slip
gal/
200 S000 GPD
960 GPD
(jPI)
gat/
gall
GPI)
GPD
Tom/ 9060 (,PI)
a See 1,5A NCAC 021 p11 4(b). (e)( ) and (e)i1) for caveats to wastewater design flow rates 11,c,, nimunum f1ov 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 (O. 42,A-4),
h. Per I 5A NCAC 02'1 .0114(c), design flow rates for establishments not identified [in table 15.A NCI\C 02/L0114j shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 9060 GP[) (per 15A m„-Ac 0.21 A.)1'14)
Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
El Pump Station or Gravity Sewer her flow will be permitted in subsequent permits that connect to this line
0 'Flow has already been allocated in Permit Number:
Ei Rehabilitation or replacement of existing sewer with no new flow expected
Lil Other (Explain):
c!:!, Rf://:.- •
FORM: ETA 04-16 Page 2 of 5

vit. GRAVITY SEWER DESIGN CRITERIA (I(Applicable) - )2T , 305 & MDC (Gravity Sewersj:
1, Summarize gravity SCWor to be permitted:
Site (inches)
6"
Length (feet)
191
t trial
PVC
Section 1.1 & 111 of the MIX: 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
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02 d1305 & NIDC (Pomp StationsiForce tains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
Punip station number or name: McLean Marina Pump St tion
Approximate Coordinates (Decimal Degrees): Latitude: 35.152 Longitude: -81,057'
3. Design flow of thc pump station: .0091 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 4 gallons per minute at 72 feet total dynamic head (TD}1)
5. Summarize the force main to be permitted (for this Pump Station):
Size hes)
Length (feet)
4136
Niaterial
P 'C
6. Power reliability in accordance with 15,A NCAC 021 305(h)(1)!:
El Standby power source or pump with automatic activation and telemetry - ISA NCAC 02:T .0305(h)(1)(B):
Required for all pump stations with an average daily flow greaterthan 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:
Portable power source with manual activation, quick -connection receptacle and telemetry5A
.0305(h)(1)(C)
or
Ll Portable pumping unit with plugged emergencypump connection and telemetry - I 5A 'NCAC 02T ,0305(10(1 AC):
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 pump stations" storage
capacities and the rotation schedule of the portable power source or pump, including travel timcframes„ shall be provided
in the case of a multiple station power outage.
FORA: "
A 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02R .0200 & 1.5.A NCAC 02T .0305(0):
L Does the project comply with all separations found in 15A NC,AC 02T .0305 1 &
15A NCAC 02T.0305 t contains minimum se orations that shall be provided for sewer systems:
Z Yes Ell No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (ver :al)
24 inches
' latermains ,e -' -al-water ove- seer 'ineluding in benched •:e c :.s
Water mains (horizontal)
18 inches
-I 0 feet
Reclaimed water lines v . deal - reclaimed over sewe
18 inches
Reclaimed water lines (horizonta - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells. WS-1 waters of Class! or
Class 11 impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA. ORW, HQ W, 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
diL' es
Any building foundation
10 feet
5 feet
Any basement
10 feet
Top slope of -. bailment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interccptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
-fr 15A NC/NC 021,0305(g) contains alternatives where separations in 02T,0305(.1) cannot he achieved.
"fr **Stream classifications can be identified using the Division's NC Surface ')Vater Classifications webpage
fr If noncompliance with 02T,(13051 r) or (2), see Section X of this application
2, Does the project comply with separation requirements for wetlands? (50 feet of separation) Z Yes
fr See the Division's draft separation requirements for situations where separation cannot he meet
fr No variance is required if the alternative design criteria specified is utilized in design and construction
fr 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 021-3
"fr This would include Trout Buffered Streams per NCAC 21.3.(1.202
4, Does the project require coverage/authorization under a 404 Nationwide or
individual permits or 401 Water Quality Certifications?
'fr Information can be obtained from the 40 l Buffer Peri
Z Yes
No
No
N'A
5, Does project comply with 15A NCAC 02T.0105(,c)(6 1 (additional pert 'slcertifications)? Z Yes No
Per 15A NCAC 021.0105(c)(6), directly related environmental permits or certification applications arc being prepared, have
been applied for, or have been obtained. Issuance of this pernnt 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 ... .NCAC 021.0402, "high -priority sewer" means an aerial sewer, sewer contacting surface .waters. siphon,. or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
I1 Yes No flNA
If yes, include an attachment with details for each hne.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 I5A NCAC 02T.04103(a)(5) or the permitee's individual System -Wide Collection permit.
FORM. FTA 04- I 6 Page 4 of 5

X. CERTIFICATIONS:
1, Does the SUbmitted s,ystem comply with I 5A. NCAC I, the M esign (7riteria lIor the Permitting' of Pu
and force Mainr ioqj tnd the tiravity Sewer Minimum Design Criteria (latest version) as applicable'?
Yes Ei No
ICNo, complete and submit the VariancelAiternati ve Design Request application (VAD( 10-14) and supporting documents tb•
review, Approval of the request is required prior to submittal of the Fast Track Application and supporting documents,
2. Professional Engineer's Certification:
1 Robert E Tripp, PE
(Professional Engineer's name from. Application kein 111,1.)
attest that this application for
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, GravitySeWer
Minimum Design Criteria for Gravity Se ers (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 I have reviewed this .material and
have judged it to he 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, )„vhich may
include a tine not to exceed S10,000, as well as civil penalties up to $25,000 per violation,
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per I5A NCAC 02T .010(0):
See next page
(Signature Authority's name & title from Application Item 1,3.)
.,-,- •• 0 1, -V .:
SEAL ---
;
23505
09.2T19
this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that it all required parts of
this application arc not completed and that if all required supporting documentation and attachments arc not included, this
application package is subject to being returned as inconiplctc 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, .1. also understand that if all required parts of this application package are not completed and that if
all required. supporting information and attachments are not included, this application package will be returned to the as
incomplete.
NOTE In accordance with General Statutes I 43-215,6A and 14.3.-215,oj. 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 SI 0,000 as well as civil penalties up to $25,000 per violation,
Signature: Date,
FORM: FTA 04-16 Page 5 of 5

has been reviewed by me and is accurate
this application are not eomplcted and that, if �z pup
application package is subject to being resumed as
discharge system to surface waters or the land will result in, ati
injunctive relief and/or criminal proseculiost 1. will make no
condition of this permit be violated. 1 also understand that if SUD
and that if all required s€apptrrt in nonadmittance, and �1trn -
me as incomplete,
NOTE — In accordance with Gend
statement, station, cur certification is
include a fine not to exceed $ 110O0 as well as
FORM: FIA 04-16
Page 2 of

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 Belmont
Project Name for which flow is being requested: McLean - Marina
More than one FTSE may he required for a single project if the owner of the WWTP is not responsible jOr all pump
stations along the route of the proposed wastewater lion%
. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: City of Belmont WWTP
b. WWTP Facility Permit #: NC0021181
Allflaws are in MGD
c. WWTP facility's permitted flow 5.0000
d. .Estimated obligated flow not yet tributary to the WWTP 1.2359
e. WWTP facility's actual avg. flow 1..7910 (2018 Average)
f. Total flow for this specific request 0.0091
g. Total actual and obligated flows to the facility 3.0360
h. Percent of pen.nitted flow used 61%
it. 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** CuiTent Tributary Flow Pius
(Name or Permit Capacity, * (Firm / pf), Avg. Daily Daily Flow, Obligated Available
Number) NoL MGD MGD How, MGD MGD Flow Capacity***
McLean 0.9360 0.3744, 0.1638 0..1076 0.2714 0.1030
...,
Morgans 1.72,80 0.6912 0..1307 0.356.1 0.4868 0.2044
* 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 ofservice.
** 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): McLean PS / Morgans PS
Downstream Permit Number: WQ0037537 / WQ0037000
Page 1 of 6
FISE 10-18

III. Certification Statement:
I Adrian 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 1 and 11 plus all attached planning assessment addendums fir 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.
Title qt'Sign ing
Date
Page 2 of 6
FUSE 10-18

e34
sLALL
MLIL, NC, C

Seven Oaks
Proserve Trail
Marina site

MER IC u
COMPANY
Merrick & Company
30'1 S McDowell St., Suite 300
Charlotte. NC 28204
Tel; [phone]
Fax: [phone]
www.merrick.com
The Marina
NCDENR — DWR Fast Track Application for Gravity Sewers, Pump Station & Force Main
Project Narrative:
This application is to cover the gravity sewer, pump station and force main as part of The Marina Commercial site
located in the City of Belmont, Gaston County, NC. The entire phase includes one ship store and one future
restaurant parcel.
The gravity system permitted will include 191 linear feet of 6" sanitary sewer.
The sanitary force main permitted will include 4136 linear feet of 3- PVC.
The 3 sanitary force main connects to an existing sanitary sewer manhole in the South Shore Phase 1
This package includes the Fast Track Application and check, flow trackin
0
and site maps.
Engmeering Our Design-e Design-d !Surveying Nanning Landscape Asct �