WQ0042657_Application (FTSE)_20210714

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dlvislon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: NQ 00q Z 65-7 (to be completed by DWR)
All items must be com leted or the agillication will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: ORANGE WATER AND SEWER AUTHORITY (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ® Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: TODD TAYLOR per ! 5A NCAC 02T_.0.1 06( J
Title: EXECUTIVE DIRECTOR
4. Applicant's mailing address: 400 JONES FERRY ROAD NC Dept of Environmental Quail"
City: CARRBORO State: NC Zip: 27510-0366 JUN 14 2021
5. Applicant's contact information:
Phone number: [phone] Email Address: ttaylorAowasa.orQ itlal OfftCC
'Ale Regp
II. PROJECT INFORMATION:
1. Project name: BOLINWOOD SEWER SYSTEM IMPROVEMENTS
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00031 and issued date: NA
If new construction but part of a master plan, provide the existing permit number: WQ00031
3. County where project is located: ORANGE
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.922 Longitude:-79.053`
5. Parcel ID (if applicable): NA
(or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
1. Professional Engineer: KEVIN F. CARTER, P.E. License Number: 10952
Firm: K. F. CARTER ENGINEERING COMPANY, PLLC
Mailing address: 714 NINTH STREET SUITE 207A BUILDING BOX 808
City: DURHAM State: NC Zip: 27705-
Phone number: (9971-0635 Email Address: kevin.carter@.cartereneineerinQcompanv.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: MASON FARM WASTEWATER TREATMENT PLANT Permit Number: NCO025241
Owner Name: ORANGE WATER AND SEWER AUTHORITY
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): Vi %Q031 Downstream (Receiving) Sewer Size: 12- inch
System Wide Collection System Permit Number(Ofifapplicablel: WQCS00031
Owner Name(s): ORANGE WATER AND SEWER AUTHORITY
FORM: FTA 04-16 Pagel of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes [-]No ®NIA
2. If the Applicant is a Developer of lots to be sold, has a De%-elover's Operational Agreement (FORM: DEVI been attached?
❑ Yes [—]No ®NIA
3. If the Applicant is a I lomclPrpper1y Owners' Association, has an Operational Agreement [FORM: HOA.I been attached?
[-]Yes [-]No ®NIA
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: 97.5 % Domestic/Commercial % Commercial
2.5 % Industrial (See 15A NCAC 02T .0103(20))
1 4- Is there a Pretreatment Program in effect? ® Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(t)? ❑ Yes ® No
If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114I
Daily Design Flow'°
No. of Units
Flow
gal/
GPD
gall
GPD
gall
GPD
gal/
GPD
gal;
GPD
gall
GPD
Total
GPD
a See I SA NCAC 02T .01 14(b), {dl, (eX 1) and fc1(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 east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 47A-4).
b Per 15A NCAC 02T .01 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15A NCAC 02T .01 14)
➢ 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: NC00025241
® Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravit-, Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
16
12
1320.93
Ductile
119.12
Ductile
4 8
95.10
Ductile
➢ Section lI & III of the MDC 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
V111. 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): 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 15A NCAC 02T .03051111f
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13):
➢ 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:
❑ 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)(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(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & g [—]Yes ® No
➢ 15A NCAC 02T.0305(f) contains minimum separations 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
Water 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 I[ impounded reservoirs used as a source of drinking water
100 feet
"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
50 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
_Any building foundation
Any basement
5 feet
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 ools
10 feet
Final earth grade vertical
36 inches
➢ 15A. NCAC b2T.030 QU contains alternatives where separations in 02T.0305(fl cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Water Classifications web2age
➢ If noncompliance with 02T.0305t t7 or (g ). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ® No ❑ N-A
➢ See the 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? ❑ Yes ® No ❑ N A
➢ This would include Trout Buffered Streams per 15A NCAC 213_0202
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.0105(cl(6) (additional permitsicertifications)? ® Yes ❑ No
Per I.5A NCAC 02T.0I05(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 I SA 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.
[]Yes ® No ❑ NSA
➢ 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: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pum1) Stations
and Force Mains (latest version), and the Gravity Se1Ner Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
I,
Kevin F. Carter, P.E. _
(Professional Engineer's name from Application Item 1II.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, 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 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 violation.
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Certification per 15A NCAC 02T .0106(b):
I,Todd Taylor. executive Director .re Water and Sewer Authorihr attest that this application for
(Signature Authority's name & title from Application Item I.3.)
the Orange Water and Sewer Authority Bolinwood Sewer System Improvements Project
has been 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 returned as incomplete. I 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. 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 143-215.6A 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 violation.
Signature: Date: 5/26/2021
FORM: FTA 04-16 Page 5 of 5

CECOCARTER
COMPANY ENGINEERING
&1.[ARf111N6+N11i,N4 K#WAWN 014W
June 9, 2021
Mr. Jason Robinson
Environmental Engineer
NCDEQ — Division of Water Resources
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
NC Dept of Environmental Quality
JUN 14 2021
Raleigh Regional Office
Re: Fast Track Application (FTA 01-16) and
Variance/Alternative Design Request
Gravity Sewer Minimum Design Criteria (VADC 10-14)
Bolinwood Sewer System Improvements
OWASA Project No. 2019-485
Dear Jason:
On behalf of the Orange Water and Sewer Authority (OWASA), we submit herewith the "Fast -
Track" Application (FTA 01-16) and a "copy" of the Variance/Alternate Design Request (VADC 10-
14) for the above referenced project for your review and approval.
Please find attached the following documents associated with the Bolinwood Sewer Improvements
Project:
• Fully executed "Fast -Track" form (FTA 04-16)
• Fully executed variance request form (VADC 10-14) (Copy - original sent to Christyn)
• Application fee of $480
• One (1) (hardcopy) set of Drawings indicated as Final Design — Not for Construction
• One (1) (hardcopy) set of "applicable" Specification sections indicated as Final Design —
Not for Construction
• FIRM Map
• FRIS Map
• Street Level Map
• One (1) Flashdrive of all submitted documents
OWASA has evaluated the associated variance request items and the potential impact these could
have on their wastewater collection system and has determined these items will not have a negative
effect on their collection system when installed as shown on the attached Construction Drawings.
Furthermore, OWASA will accept full responsibility for the variance in the design requirements of
these items.
The project site is located just north of the Town of Chapel Hill, in Orange County, North Carolina.
We greatly appreciate your time and effort associated with this project and would be happy to answer
any questions you might have concerning our variance request. Please advise if you have any
questions or need any additional information associated this submittal. You can also contact
OWASA's Project Manager, Simon Lobdell at 919-968-4421, should you need to discuss this
application with the OWASA staff involved with the project.
714 NINTH STREET, SUITE 207A — DURHAM, NORTH CAROLINA 27705 NC LICENSE: P-1210
PHONE: [phone] EMAIL: kevin.carter carterencineeringcompany. com SC LICENSE: COR 5214

Jason Robinson, P.E.;6/1012021, Page 2
Very truly yours,
K. F. CARTER ENGIIN`NEEERIIN�G` COMPANY, PLLC
/("- EN
Kevin F. Carter, P.E.
President
Cc: Simon Lobdell, P.E.
Darren Berger
714 NINTH STREET, SUITE 207A — DURHAM, NORTH CAROLINA 27705 NC LICENSE: P-1210
PHONE: [phone] EMAIL: kevin.carter carterengineerin company.com

CECOCARTER
COMPANY ENGINEERING
K. CA-, Nd,NttArd3 CdMFA �,•rrC
June 9, 2021
Mr. Jason Robinson
Environmental Engineer
NCDEQ — Division of Water Resources
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
Re: Fast Track Application (FTA 01-16) and
Variance/Alternative Design Request
Gravity Sewer Minimum Design Criteria (VADC 10-14)
Bolinwood Sewer System Improvements
OWASA Project No. 2019-485
Dear Jason:
NC Dept of Environmental Quality
JUN 1.5 "a?1
Raleigh, Regional Off ce
On behalf of the Orange Water and Sewer Authority (OWASA), we submit herewith the "Fast -
Track" Application (FTA 01-16) and a "copy" of the Variance/Alternate Design Request (VADC 10-
14) for the above referenced project for your review and approval.
Please find attached the following documents associated with the Bolinwood Sewer Improvements
Project:
• Fully executed "Fast -Track" form (FTA 04-16)
• Fully executed variance request form (VADC 10-14) (Copy - original sent to Christyn)
• Application fee of $480
• One (1) (hardcopy) set of Drawings indicated as Final Design — Not for Construction
• One (1) (hardcopy) set of "applicable" Specification sections indicated as Final Design —
Not for Construction
• FIRM Map
• FRIS Map
• Street Level Map
• One (1) Flashdrive of all submitted documents
OWASA has evaluated the associated variance request items and the potential impact these could
have on their wastewater collection system and has determined these items will not have a negative
effect on their collection system when installed as shown on the attached Construction Drawings.
Furthermore, OWASA will accept full responsibility for the variance in the design requirements of
these items.
The project site is located just north of the Town of Chapel Hill, in Orange County, North Carolina.
We greatly appreciate your time and effort associated with this project and would be happy to answer
any questions you might have concerning our variance request. Please advise if you have any
questions or need any additional information associated this submittal. You can also contact
OWASA's Project Manager, Simon Lobdell at 919-968-4421, should you need to discuss this
application with the OWASA staff involved with the project.
714 NINTH STREET, SUITE 207A— DURHAM, NORTH CAROLINA 27705 NC LICENSE: P-1210
PHONE: [phone] EMAIL: kevin.cartergcarteren ineeringcompany.com SC LICENSE: COR 5214

Jason Robinson, P.E.;611012021, Page 2
Very truly yours,
K. F. CARTER ENGINEERING COMPANY, PLLC
/ f ". v • 6,70, i�
Kevin F. Carter, P.E.
President
Cc: Simon Lobdeil, P.E.
Darren Berger
714 NINTH STREET, SUITE 207A — DURHAM, NORTH CAROLINA 27705 NC LICENSE: P-1210
PHONE: [phone] EMAIL: kevin.carter0carterenaineerinjtcompany.com

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DWR
Division of Water Resources
Application Number:
I. APPLICANT INFORMATION:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02T .0105— VARIANCE/ALTERNATIVE DESIGN REQUEST
VADC 10-14 & SUPPORTING DOCUMENTATION
(if applicable, to be completed by DWR)
1. Applicant's name: ORANGE WATER AND SEWER AUTHORITY
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State ❑ Municipal
3. Signature authority's name: TODD TAYLOR per 15A NCAC 02T .0106(bl
4. Applicant's mailing address: 400 JONES FERRY ROAD
City: CARRBORO State: NC Zip: 27510-
S. Applicant's contact information:
Phone number: [phone] Email Address: ttaylor@,owasa.org
II. PROJECT INFORMATION:
1. Project name: BOLINWOOD SEWER SYSTEM IMPROVEMENTS
2. Project status: ® Proposed ❑ Existing (if existing, Permit Number: )
Ill. CONSULTANT INFORMATION:
® Privately Owned Public Utility
❑ County
Title: EXECUTIVE DIRECTOR
1. Professional Engineer: KEVIN F. CARTER, P.E. License Number: 10952
Firm: K. F. CARTER ENGINEERING COMPANY, PLLC
Mailing address: 714 NINTH STREET, SUITE 207A, BUILDING BOX 808
City: DURHAM State: NC Zip: 27705-
Phone number: [phone] Email Address: [e-mail]
IV. VARIANCE REQUEST:
1. Provide a detailed list of specific criteria that a variance request is submitted for:
(e.g., NCAC 02T.0305(f) - Separation, MDC for Pump Stations / Force Mains 3.04(A)(1)(b) — Discharge Piping Velocity, etc)
SHEET 4 - GS MDC #5 - HIGH VELOCITY PROTECTION REQUIRED
SHEET 4 - STA. 12+39. STORM DRAIN PIPE CROSSING CLEARANCE LESS THAN 24" {REF. IX.1
SHEET 5 - DOES NOT MEET WETLAND SEPARATION OR SETBACK REQUIREMENTS (REF. IX.2 AND REF. IX.3)
SHEET 6 - DOES NOT MEET WETLAND SEPARATION OR SETBACK REQUIREMENTS (REF. IX.2 AND REF. IX.3)
SHEET 7 LINE 8A - STA. 10+22 TO STA. 10+39 LESS THAN 36-INCHES COVER REF. IX.1
SHEET 7, LINE 8A - DOES NOT MEET WETLAND SEPARATION REQUIREMENTS (REF. IX.2 AND REF. IX.3)
SHEET 7, LINE 6A - GS MDC #5 - HIGH VELOCITY PROTECTION AND #6 STEEP SLOPE PROTECTION REQUIRED
FORM: VADC 10-14 Pagel of2

Applicant's Certification per 15A NCAC 02T .0106(b):
I, TODD TAYLOR EXECUTIVE DIRECTOR ORANGE WATER AND SEWER AUTHORITY attest that this request for
(Signature Authority's name & title from Request Item 1.3.)
BOLINWOOD SEWER SYSTEM IMPROVEMENTS
(Project name from Request Item II.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I also understand that if all required parts of
this request package are not completed and that if all required supporting information and attachments are not included, this request
package will be returned to me as incomplete. I understand that by certifying this variance request, I shall adhere to the
requirements of the variance approval should it be approved and all permit conditions should the permit be approved.
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 request package shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed
$10,000 as w=.--[
25,000 per violation.
Signature: Date: 5/26/2021
Professional Engineer's Certification:
I, KEVIN F. CARTER, P.E. attest that this request for
(Professional Engineer's name from Request Item 111.1.)
BOLINWOOD SEWER SYSTEM IMPROVEMENTS
(Project name from Request Item 11.1.)
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, in accordance with 15A NCAC 02T.0105(n) will provide, equal or better treatment of the waste,
eaual or better protection of the waters of the state: and no increased potential for nuisance conditions from noise, odor, or vermin.
I further attest as been prepared in accordance with this request package and its instructions, as well as all applicable regulations and
statutes. 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 request 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:
FORM: VADC 10-14 Page 2 of 2