WQ0043510_Application (FTSE)_20220518

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
VFA 06-21 & SUPPORTING DOCUMENTATION
Application Number: % a 009 35 tl0(hi be cwnpic[.J Ly DWI()
All items must he completed or the application will be rclurued
I, APPLICANT INFORMATION:
1. Applicant's name: 1 levate at the 1',krk_ 1 1 C (company, municipality, I-4OA, utility, etc.)
2. Applicant type: 0 Individual 0 Corporation ❑ General Partnership ❑Privately-Owrrrd Public Utility
❑ Federal ❑ State/County 0 Municipal Other
3. Signature authority's name: Craig Taylor per I A, 1 \t .1r 0' 1 t: i.1:•i.,! 1 !
Title. Developer O INI1 N KY Pj (- It () t j
4. Applicant's mailing address: 530 Eugene Ct. 1 F. 23f1
City: Greensboro State: NC Zip: 27401- 1����vb r f
5. Applicant's contact information: pe� tl
Phone number: [phone] Email Address: 131 01t &INV Ccfnl
PROJECT INFORMATION:
I. Project name: Signature 1 Ieratc al the l':krk..i. RIVA Tt
2. Application/Project status:
® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
For modifications, also attach a detailed narrative description as described in Item G 'Attie checklist.
1 f new construction, but part of a master plan, provide the existing permit number: WQ00__
3. County where pro ect is located: Durham
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.923334' Longitude:-78.892006°
5. Parcel ID (if app:icable): 155355 (or Parcel ID to closest downstream sewer)
11l. CONSULTANT INFORMATION:
1. Professional Engineer: Ariel Gamboa License Number: 041363
Firm:llon,rur 1ssociatr,,.P.A.
Mailing address: 16_.;onsuhant Place: 5ui1e _(11
City: Durham State: NC Zip:27707
Phone number: [phone] Email Address: Ai ii1 (r,iinhoati l korti,uhANsoc[aiL-. corn
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: I riartr`le Wirrtea,kter I i e.rhnent Plant Permit Number: NC0026051
Owner Name: Durham County
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQCS00038
2. Downstream (Receiving) Sewer Information: 18 inch ; ! Gravity 0 Force Main
3. System Wide Collection System Permit Number(s) (if applicable). WQCSS00005
Owner Name(s): City of Durham
FORM: ETA 06-21
Page 1 of 5

VI. GENERAL REQUIREMENTS
1. I f the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ® N/A
2. lithe Applicant is a Developer of lots to be sold, has a I h•‘ .\grcerrwin (1 i )it \I. 1)1 \ 1 been attached?
❑ Yes ❑ No ® N/A
3. If the Applicant is a Home/Property Owner? Association, has an I Ir 1.1 I't > ' r1;. ar,il r!i_Iv uctit fl i iK,\I 11{ s \ i and
supplerentary documentation as required by t 5A NCAC 02T,0115(c) been attached?
❑ Yes ❑ No ® N/A
4. Origin of wastewater (cheek all that apply):
❑ Residential (Individually Owned) ❑ Retail (stores, centers, malls)
® Residential (Leased) L.l Retail with food preparation/service
❑ School / preschool / day care 11 Medical J dental / veterinary facilities
❑ Food and drink facilities Lj Church
❑ Businesses/ offices / factories [1 Nursing Home
❑ Car Wash
❑ Hotel andior Motels
❑ Swimming Pool/Clubhouse
❑ Swimming; Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic % Commercial % Industrial (5,:r I
If industrial, is there a Pretreatment Program in effect? ❑ Yr,❑ No
6. Has a flow reduction been approved under I N\ NCr1[' 0' I .01 I •ttl)? ❑ Yes ® No
11 ►cr, pro+ idea coin of flow reduction aapr•n+:r1 letter ++ith this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(0) Daily Design Flow
No. of Units Flow
Apartment Complex
240 gaUday
336
gal/
80640 GPD
GPD
gaff
GPD
gal/
gal/
GPD
GAD
gaV
GPD
T olal
80640 GPD
a See 15)1 ts'l:AC lr"' I .0lI4I(hi,_(d), (e)(I j and O(_'1 for caveats to wastewater des gn 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._42A•4)
b Per I5A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 1*, Nt 1t o+ 101 1.1 J shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project. 80640 GPD (per 1 ; 1 N{' Al( 031 .1111 I)
Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump StationiForcc Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
O Flow has already been allocated in Permit Number: Issuance Date:
0 Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 06-21 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable)- 02T .O305 & ;1-;1N ilti vC %%CI? i;
Summarize gravity sewer to be permitted:
Size (inches)
Length (feet) Material
8
1303
8
666
PVC
DI P
D Section 11 & I11 of the MDC for Permitting of Gravity Sewers contains information related to design criteria
z Section III contains information related to minimum slopes for gravity sewer(s)
> Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T ,0305 & ,lll)( Minty S.t.itioni•l orte
PIZ(tV'I ! flSI.PAR 1!1.tt)P1'()1• IlIlk, I'rl(i!.I•()R1!1(:I!Pt N,IP. I,l1li)Nl .(II'I)II)IN IIII`,I`I“)ll( I
I. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees)' Latitude: Longitude: - .
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
If110r111in of the force main is less than 4-inches in aliau1cter. please identify the method of solids reduction per
M[ x'PSI-NI Section 2.OIC.Lb. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 1 i 1 Nt' 1t • II' I {t 0i( h: 1 I:
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(B)_
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant 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
as part of this permit application in the case ofa multiple station power outage.
FORM: FTA 06.21 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & l5A NCAC 02T .0305(f)):
I. Does the project comply with all separations/alternatives found in I .1 ? t •\( 0.7 I i; ;t)st 0 ,C (_ i' ® Yes ❑ No
l5A NCAC 02T.030r(1) contains minimum .:ep:.r r ions that shall be i)r,F1 ided fur sewer s}steins•
Setback Parameter*
Storm sewers and other utilities not listed below (vertical)
Separation Required
{ 18 inches
'Water mains (vertical - water over sewer preferred, 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 II impounded reservoirs used as a source of drinking water, and associated wetlands. 100 feel
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
**Any other stream, lake, impoundrnent, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL
Any building foundation (horizontal)
Any basement (horizontal)
Top slope of embankment or cuts of 2 feet or more vertical height
Drainage systems and interceptor drains
Any swimming pools
Final earth grade (vertical)
tf noncompliance with 02T.0305(1) or (g), see Section X. 1 of this application
* 1. 1 'N.( 1C 02 1 0;05(J c,uit.tiu, altenr,rites separations in 02 I .tl ;t);(1) cannot Fre aelu.' ed Pleaw check
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's \t SurLti.c ltatc, I. xiti4a1ium. ohh,t e
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N A
A If no, please refer to I SA NCAC 18C.0906(f) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands?
D Please provide supplementary information identifying the areas of non-conformance.
A See the Division's drift separation regi,ircmcnss for situations where separation cannot be met.
D No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ® Yes Basin name: Cape Fear
If yes, does the project comply with setbacks found in the river basin rules per I k tit It • 0'lt 0200_'
D. This includes Trout Buffered Streams per I SA NCAC 213.0202
50 feet
10 feet
5 feet
10 feet
10 feet
5 feet
5. Does the project require coverage/authorization under a 404 Nationwide, individual permits
or 40I Water Quality Certifications?
D Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 1 .\ Nt .1( n' l 010%00) (additional permits/certifications)? ® Yes ❑ No
Per ; k Ns ',t' i):' 1 U I05(ejp j, directly related environmental permits or certification applications must be 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.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per I ;,...t .1( tt? 1.0.1.)', "h:gh-priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to strearnbanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
D 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 I5A NCAC 02T.0403(a)(5) or the permittec's individual System -Wide Collection permit.
FORM FTA 06-2I Page 4 of 5
10 feet
36 inches
® Yes ❑ No ❑ NA
❑ No
®Yes ❑No
❑ Yes ® No

X. CERTIFICATIONS:
1 I haiti the tinlrinilEerl s tccc! i.:ricccpI +1 fits \ %.1 \(• 0.N. I , 111i \Illlirlllirt] I14ti Jr, (f ilcl'i.l (nl thu 1'CrrllitllH I nl Iwlatlta 1;t15,.lI-
•r I I i.", t \1'lllri I Iici:.r �s•i�4�n,.. and the t t , 1. `'+'•ttC \inn:iisrr) 1 ICtil it ( ...r:.1 (1 iit.l %if:tii;rral as applicable?
®Yes No
If no, for projects requiring a single variance, cotplete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Ajtrtr►al nt' (he I IIivst ►,ill he i�.uelf
cuntarrend► ►►itl) Ike no/inn:II of the permit, and projects iequirirg a ►:Iriance approval nra% he'ubjeci to longer
et► ic►s times. For firt. eets requiring two on more ►:1r'ianccs or where the ►ariance is deign mined b thr I)i► i'ion to be :I
significant portion of the project. the full technical IV►ieu is required.
7,
Professional Engineer's Certification:
1, / J 6aJzo G. attest that this application for S'5(4u.t
(Pre fessional . 1"r :. • name from Application Rein III 1) n.$ecl Name from Application 1 , II 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,
\.l11111711' 71 I}1',I';I'', �1terF.l tic ( tr.o.Its tieltkr}:Llti', 5C�<4111 I, and the t,IIII .'ll.l'I I I:.ii.il (r'I,•i'E:F I•o (ib.. r.i III:,
t1I I'trI1;!'1.uirll'....... I trice 6-lane, rl.ncrt ►t•rtit. el. 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 I43•215.6B, any person who knowingly makes any fase
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. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may suhject
the North Carolina -licensed Professional Engineer to referral to the licensing hoard. (21 M. At; 56 (17O I
North Carolina Professional Engineer's seal, signature, and dale:
3. Applicant's Certification per 15A NCAC 02T .0106(b)
1, Craig Taylor • attest that this application for Signature 1 lc►.IL, at the Park
(5ignalurc Atakray Name from .App cation Item 13) 1,Projecl Name from Application hermit')
attest That this application 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 arc not included, this application package is suhject 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 intrnediate enforcement
action that may include civil penalties, injunctive relief, and or criminal prosecution. 1 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 :lc1I iiiocc with General Statutes 143-215.6A and I43-215,6B any person who knowingly makes any false
statement, ICp1C 1ItatitHL- or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine in 10 c K110,000 as well as civil penalties up to $25,000 per violation.
Signature:
Dale: `i / /9-0)
FORM: FfA 06-21 Page 5 of 5

NC Dept of Environmental Quality
MAY 1 8
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Raleigh Regional Office
low Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Elevate at the Park, LLC
Project Name for which flow is being requested: Signature Elevate at the Park - Private
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.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Triangle Wastewater Treatment Plant
b. WWTP Facility Permit #: NC0026051
All flows are in MGD
c. WWTP facility's permitted flow 12
d. Estimated obligated flow not yet tributary to the WWTP 1.3037
e. WWTP facility's actual avg. flow 4.0280
f. Total flow for this specific request 0.08064
g. Total actual and obligated flows to the facility 5.4123
h. Percent of permitted flow used 45.1
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 / pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
N/A
* 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 (Sewer): Durham County Sewer
Downstream Permit Number: WQCS00038
Page 1 of 6
FTSE 10-18

111. C.'erti fication Statement.
tT; certify to the best of my knowledge that the addition of
the vo time of wastewater to De permitted in this project has been e\ aluated along the route to the receiving
astewater treatment facility and that the Clow from this project is not anticipated to cause any capacity
related sanitary sewer oN,erflows 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 I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this fora certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
*twig 0!
lead ,Sigiu111NY'
E. S 'M LJ '-i 11ue.hil
Page 2 of 6
Si91ao,
Dale
FUSE I0-Ni

NC Dept of Environmental Quality
D
Division of Water Resources
MAY 18 22
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Raleigh Regional Ofice
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Durham Dept. of Water Mngmt.
Project Name for which flow is being requested: Signature Elevate at the Park
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.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #:
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
All flows are in MGD
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 / pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
No pump station involved, existing downstream sewer main from point of tie-in to point
of transfer to Durham County main is gravity flew with sufficient capacity to serve proposed
Pxtension
* 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 (Sewer):
Downstream Permit Number:
Page I of 6
FTSE 10-18

III. Certification Statement:
[ Robert Joyner 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 Iisted above in Sections I and II plus all attached planning assessment addendums for 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.
-
Signing Official 'ignature
Title of Signing Official
Page 2 of 6
5/4 /2Zz
Date
FTSE 10- l 8

HORVATH
ASSOCIATES
Clvii Engineers
Planners
Landscape Architects
Cover Letter
DATE: February 2, 2022
TO: North Carolina Department of Environmental Quality
Raleigh Regional Office -Water Quality Section
1628 Mail Service Center
Raleigh, NC 27699-1628
FROM: Ariel Gamboa, PE
SUBJECT: Fast Track Sewer Application
Signature Elevate at the Park - Private
This is a residential Apartment Complex on a 35 acre site with 336 apartment units
located at 3706 NC 55 Highway in Durham North Carolina. This application is for the
installation of 1,969 feet of new private sewer line generating 80,640 gpd. The
following items have been included with the application package:
• 1 Cover Letter
• 1 Original FTA
• 1 Check for $480.00
• 1 Information on LLC From NC Secretary of State
• 1 Flow Tracking/Acceptance Form
• 1 Copy of USGS Map
• 1 Copy of Aerial Map
North Carolina
16 Consultant Place, Suite 201
Durham, NC 27707
p 919-490.4990 f 919-490-8953
Tennessee
Post Office Box 970
Harrison, TN 37341
p 423-266-4990

Elevate at the Park
USGS Map - SW Durham Quadrangle
N
NC Dept of Environmental Quality
MAY 182022
Raleigh Regional Office
I ,