WQ0041889_Regional Office Historical File Pre 2018

Division of Water
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .03,00—FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FI'A 04-16 & SUPPORTING DOCUMENTATION
Application Number:
Cr (to he t~o pleted by DWt )
All items rrtust be completed tar the application will be returned
APPLICANT INFORMATION:
1. Applicant's name: Town of Dalla (company, municipality. HOA, utility, etc.)
Applicant type: ] Individual © Corporation ❑ General Partnership D Privateiy-Owned Public
© State/County ® Municipal © Other
© Federal
Signature authority's name: Maria Stroupe per 1,5.EAt;, (t' 1 /L
Title: Town Manager
4. Applicant's mailing address: 21.0 N. Holland Street
City: Dallas
State: NC Zip: 2803-
Applicant's contact information:
Phone number: (704) . 2-3.176 Email Address: mstroupec dallasnc.net
11. PROJECT INFORMATION:
1. Project name: Robinson Street Sewer Extension
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
l.fa modification, provide the existing permit number: W'Q00 and issued date:
if new construction but part of a master plan, provide the existing permit number: WQ00
;. County where project is located: Gaston
4. Approxim.ate Coordinates (Decimal Degrees): Latitude: 35.31 13' Longitude: -81.1813'
5. Parcel ID (if applicable): 302458
(or Parcel ID to closest downstream sewer)
CONSULTANT INFORMATION:
1. Professional Engineer: Johnny Denton PE, PLS
Firm: Diamond Engineeritlg„ PLLC
Mailing address: 440 Old NC 277Loop Road
City: Dallas State: NC Zip: 28034-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Town of Dallas Permit Number: NC068888
Owner Name: Town of Dallas
V. RECEIVING DOWNSTREAM SEWER INFORMATION (it -different than WWTF):
1, Permit Number(s): WQ Downstream (Receiving) Sewer Size:
ITli tt'dc) WQCS_
Owner Nanie(s):
Number: 23530
inch
FORM: ETA 04-16
Page 1 of 5

VL GENERAL REQUIREMENTS
1. If the Applicant i.s a Privately -Owned. Public Utility", has a Certificate of Public Convenience and Necessitybeen attached?
0 Yes 0No N/A
2 If the Applicant is a Developer ofilots to be sold, has a DevtOcvis Qperationam u (1zoRm: Dry) been
0 Yes No ON/A
3. If the Applicant is a Hotne/Prortrty t.),s Tiers' Association, has an Qpcfalional AvvententlrORNT 140A) been attached?
0 Yes ENo ZN/A
Origin of wastewater: ic all that apply):
Residential Owned
El Residential Leased
0 School / preschool / day care
0 Food and drink facilities
0 Businesses offices / factories
0 Retail (stores, centers, malls)
0 Retail with food preparation/service
0 Medical / dental / veterinary facilities
El Church
Nursing Home
ttached?
0 Car Wash
0 'Hotel an,cilor Motels
Switnming Pool /Clubhouse
0 Swimming Pool/Filter Backwash
0 Other (Explain in Artachmen.t)
5. Nature of wastewater : 1.00 % Domestic/Commercial % Commercial
% industrial (See 15.A C.,A( 02'1 ,0 103(20j)
) Is there a Pretreatment Program in effect? Ej Yes 0 No
6. Has a flow reduction been approved under 15A, NCAC 02T ,0 1 1.404? 0 Yes No
If ves, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type )2T.9114
Daily Design Flow a"b
No. o Uni
Flow
3 bedroom residential units 480 gallday
ga
gal/
720 GPD
G.PD
GPD
gal/
GPD
gall
GPD
gal/
Total
GPD
GPD
a See 15.A. NC.,A(17 02T ,0 I 14(b)10), iud 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 east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in 6,S, 42A-4),
b Per 15A NCAC 02T ..0.114(c), design flow rates for establishments not identified [in table I5A N.V\ 021,0 1 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 7.20 GPD (per A ,..,,(:.410;211,9114)
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 perrnits thatconnect is line
0 Flow has already been allocated in Permit Number,
El Rehabilitation or replacement of existing sewer with no new flow expected
Other (Explain),
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305& JDCtCravtv Sewers :
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material.
220'
DIP
• Sectiorill & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
• Section IlE 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
PUMP STATION DESIGN CRITERIA (If Applicable) — 021' .0305 & 11,11)c (Plon Static) siForee :
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)
Length (feet)
Material
6. Power reliability in accordance with 5A NCA( 021' jL30501)(1):
I: Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(hX1)(B):
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:
LJ Portable power source with manual activation, quick -connection receptacle and telernetry - I 5A NCAC 02T
.0305(I)(1)(C)
or
1: 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.
• 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: FTA 04-16 Page 3 of 5

• IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(1)):
1.. Does the project comply with all separations found in 15ANcActill.,,q,3001.&„„0,1
• 15A NCAC 02T.03050 contains minimum separations that shall be *rovided for sestems:
Setback Parameter*
Storm sewers and other utilities not listed below (vertical)
El Yes
Se aration Required
24 inches
Water mains (vertical -water over sewer including in benched trenches) 18 inches
Water mains (horizontal)
Reclaimed water lines (vertical - reclaimed over sewer)
Reclaimed water lines (horizontal - reclaimed over sewer)
**Any private or public water supply source, including any wells, WS-I waters of Class! or
Class II impounded reservoirs used as a source of drinking water
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB 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
Any basement
To s e of ban en o
1.0 feet
18 inches
2feet
100 feet
fee
10 feet
5 feet
10 feet
utsof2 feet or more vertical height 10 feet
Drainage systems and interceptor drains
Any swimming pools
Final earth grade (vertical)
5 feet
10 feet
36 inches
15ANcAc 021-0,3. 05(g) contains alternatives where separations in 02,j10j3P..iut cannot be achieved.
• **Stream classifications can be identified using the Division's N(LSiistitc,eWraterCli*sitications,w
If noncompliance with 0211,1)305LtIor(g1 see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) Yes 0 No 0 N/A
io• See the Division's draft separation requirements for situations where separation cannot be rneet
fr No variance is required if the alternative design criteria specified is utilized in design and construction
10 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 0 ,0200? Yes 0 No 0 N/A
This would include Trout Buffered Streams per 15,A 'NCINC.: 2[1,0202
4. Does the project require coverage/authorization under a 404 Nationwide or
individual permits or 401 Water Quality Certifications?
Information can be obtained from the 401&.„„lA9ffg1silliiitiOL,'Dr.411.01
0 Yes
5. Does project comply with 15A.,,ti,c,,M1112.j.:,(111,5140 (additional. permitslcertifi.cations)? Yes El No.
Per15...AN(.1cQ2JIA056,1)(6), directly related environmental pennits 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 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.
Ej 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 perm itee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

" CERTIFICATIONS:
1.. Does the submitted system comply with ,1,5Al:,:ic.:AtLyzi, the Minn:nom Deisit,,,p Criteria for thi, Perrnittinv,,cifytinavtiiatipas
anti Force MairrsAlates version), and the Ci-avitv Sewe,r Mintrouni Desitta Criteria Atatest versi an) as applicable'?
Yes El No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10- IA) and supporting documents for
review. ApprovaIof the request is required prior to submittal of the Fast Track Application and supporting documents,
2. Professional Engineer's Certification:
1,
_c
ro essional Engineer's name froth Application hem 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, 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 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 be consistent with the proposed design.
NOTE - lrt accordance with General Statutes 143-215,6A and 143-215.68, any person who knowingly makes any false
statement, representation, or certification in arty 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:
3, Applicant's Certification per 15A NCAC 02T .0106(b):
1,
(Signature AutKority's name & title from Application Item 1,3.)
attest a 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 if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. 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. andlor criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. I 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 me as
incomplete,
NOTE - In accordance with General Statutes ,143:.215fiA and 14915613, 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:
FORM: FTA 04-16
Page 5 of 5

RECSAltniNf NRCOM112,'
Aljti
7 ?OA;
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
WQROS
IVIOORESWIL,REQIONA OrFA:72
Entity Requesting Allocation: Town of Dallas
(FTSE 10-18)
Project Name for which flow is being requested: Robinson Street Sewer Extension
More than one FTSE may be 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: Town of Dallas
b. WWTP Facility Permit #: NC0068888
WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the
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
illlflows are in MGD
0.6
DTP 0
0.35
0.0007
0.35
58.33
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 / pi), Avg. Daily Daily Flow, Obligated Available
Ntnber) No, MGD MGD Flow, MGD MGD Flow Capacity***
NA
* The Firm Capacity (design flow) of any pump station is defined as the max um pumped o
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 (Sewer): Town of Dallas
Downstream Permit Number: WQCS00165
Page 1 of 6
1-1.'S.E, 10-18

Certification Statement:
troupe certify to the best of my knowledge that the addition of
e volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
astewater 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 hest available data. This eertification applies to
those items listed above in Sections I and II plus all attached planning assessment addendu s for which l
am the responsible party. Signature of this forma certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater,
Tice l Si rain f
Date
Page 2 of6

f

Ms National Map
USTopo
GASTONIA NORTH QUADRANGLE
NORTH CAROLINA - GASTON COUNTY
7,5-MINUTE SERIES
83 8 # 85 8 87 8
5.3750'

83
E1:24000
(KILOMETERS
JR INTERVAL ZO FEET
%N VERTICAL DATUM OF 11i88
'oduced to conform with the
ram US Topo Product Standard,
with this product Is draft version 0,6,18
84 85 86 87
QUADRANGLE LOCATn©N
3
Lincolnton West
on East
} 5 4 Bessemer City
5 Mount Holly
6 Kings Mountain
6 7 8 7 Gastonia South
8 Belmont
ADJOIN PNn QUADRANGLES
ROAD CLASSIFICATION
Expressway Local Connector —
Secondamy Hwy Local Road
Ramp 4WD
Route
0 State Route
GASTONIA NORTH, NC
2019
02
'9©1°' N
35,2500°
-81.125©

L,aO
„

April 22, 2020
DEQ
Division of Water Resources
Mooresville Regional Office
610 E. Center Avenue
Mooresville, NC 28115
SUBJECT: Robinson Street Sewer Extension
To Whom It May Concern:
We are proposing to install approximately 220 linear feet of 8' DIP sanitary sewer line
to serve 2 residential lots. These lots are located in the Town of Dallas, NC. and the
sewer line will be owner and maintained by the Town of Dallas once completed, We
are requesting permitting of the proposed extension with the understanding that
Setbacks and Separations cannot be achieved with respect to Water over Sewer, We
propose to lower and replace the water with 20' of DIP water line and to install all DIP
sewer.
If you have any questions, you may contact me at 704-922-0024.
Sincerely,.
Denton, PE, PLS
arnond Engineering, PLLC

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: TOWN OF DALLAS
PERMIT #: WQ0041889
PROJECT: ROBINSON STREET SEWER EXTENSION
ISSUE DATE: AUGUST I 0, 2020
RECERTORNICDENRoVVR
;)/
WQROS
MOORESWILE REGONAL,
This project shall not be considered complete nor allowed to operate in accordance with standard
Condition 7 of this permit until the Division has received this Certification and all required supporting
documentation, It should be submitted in a manner that documents the Division's receipt, Send the
required documentation to the Regional Supervisor, Water Quality Regional Operations Section at the
address noted in the page footer.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Pennittee is responsible for tracking all partial certifications up
until a final certification is received by the Division. A Final Certification shall be a complete set of
record drawings and design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
1, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant to
the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain the
wastewater collection system permitted herein or portions thereof.
1/36-- Iu,Jj
Printed Natne, Title
Signature
ENGINEER'S CERTIFICATION
Date
\L) h n art ot) . as a duly registered Professional Eng eer in the State of North Carolina,
having beet authorized to observe periodically, 0 weekly, 4 full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the best of my
abilities, due care and diligence was used in the observation of the following construction:
220 linear feet of 8-inch gravity sewer; such that the construction was observed to be built within
substantial compliance of this permit; 15A NCAC 02T; the Division of Water Resources' (Division)
Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June
1, 2000, as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
Final Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
NC DWR — Water Quality Regional Operations Section 610 East Center Avenue, Suite 301„ Mooresville, NC 28115
Mooresville Regional Office Phone: [phone] FAX [phone]

CERTIFICATION CHECKLIST
To be completed by the certifying engineer prior to operation of the permitted sewers, per 15A NCAC 02T.0116.
Certifying Engineer: Jel)
Certification Review Date:
it a PE dozs"
-RECt IV f4PIDWR
Project Name: R ,--115 n .571ree "recvCx.- Ek-71r-pi 5/Z)Pi
VIC.0.)4sVl(i";,.QR:°s Giat,IN nFtziCE
WQOO Wier Project County: 6-0..147,1
I) Has pennittee information changed since the permit was issued (or last modified): change of mailing address, °
change of ownership, transfer from developer to HOA/P0A, etc. El Yes No
• If yes, please provide either a change of ownership fomi or new contact information, Note that transfer of
permits from the developer to the 1-10A/P0A must occur with the first certification.
2) Have the as -built drawings have been signed, sealed, and dated by an N.C. PE? Yes ED No
3) Final Engineering certification? Yes 0 No
• If Partial Engineering certification, provide detailed narrative including what is being certified in the current
phase, what was previously certified (if applicable), and what is left to be certified.
4) Adequate information related to sewer lines: Yes No 11 N/A
• Three feet minimum cover has been provided for all sewers unless ferrous pipe was installed.
• Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines.
• Manholes have been installed: At the end of each line, at all changes in grade, size, or alignment, at all
intersections, and at distances not greater than 425 feet; minimum diameter shall be 4 feet (48-inches),
5) Adequate information related to pump stations: El Yes El No N/A
• Ensure power reliability option was selected per oth
6) Was project construction completed in accordance with all of the following: 1 Yes [1] No EI N/A
• I 5A NC 02T, NI riterialMDC).tbr iictllerrilittiittigiir Gravity Sewers (latest version), and
1ptte_i)Oittiriii('latest version)?
If not, a variance approval is required in accordance with i 02T,0 Oat) j, prior to certification and
operation.
• Contact the Central Office to discuss the variance to determine a course of action.
• Applicant must submit two copies of the variance request form, plans, specifications, calculations, arid any other
pertinent information to the Central Office (one hard copy, one digital copy).
• The central otTice will review the variance request, and if approvable, specific language regarding the variance
will be incorporated into the permit, either via a special condition or a supplementary letter. A copy of the
reissued permit with variance language or the variance letter must be maintained with the original documents.
7) Does the project contains high priority lines Cjiiitiii&:Nciiti(a:).2119tittiii2(2ip? E] Yes 4 No
• If yes, ensure thatthe permit already contains the necessary condition related to high priority lines 15A NCAC
02T,0403 (a)(5). If the permit does not include this language, the Fast Track reviewer will reissue the permit with
the appropriate language..
8) Are Permit modifications are required for any changes resulting in non-compliance with this permit (including but not
limited to pipe length changes of 10% or greater, change in flow, pum s .tion design capacity design change of 5% or
greater, and/or change in the number/type of connections)? 0 Yes P4 No.
• If yes, a permit modification request MUM be submitted to the appropriate Regional Office, and a modified
permit with revised certification must be issued prior to certification and operation.
NC DWR — Water Quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
Mooresville Regional Office Phone: [phone] FAX: [phone]