WQ0044629_Application (FTSE)_20230802

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Dtvislon of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: �_t! �� 1 (to be completed by DWR)
All items must be completed or the application will be returned
1, APPLICANT LNiFORIVLATION:
1. Applicant's name: City of Lexington (company, municipality, HOA, utility, etc.)
2. Applicant type: [] Individual F� Corporation ❑ General Partnership C] Privately -Owned Public Utilivi
❑ Federal [] State/County Municipal Other
3. Signature authority's name: Tom Johnson per 1) N 'A�_02.T 0106(bl
Title: Water Resources Director
4. Applicant's mailing address: 28 W Center Street
City: Lexington State: NQ Zip: 27292-
5. Applicant's contact information: �� �,� �� a �o n,e. JRPV
Phone number: [phone] Email Address,
II. PROJECT INFORMATION:
I . Project name: Townes at Brown Street
2. Application/Project status: Z Proposed (New Permit) C] 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 of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Davidson
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.7861' Longitude:-80.2772'
5. Parcel ID (if applicable): 11346A0000017 11346B00000014.11346B00000016 (or Parcel ID to closest downstream sewer)
III. CONSULTANT IINFORMATION:
l . Professional Engineer: Paul A. Stimpson License Number: 22052
Firm: LaBella Associates, PC
Mailing address: 939 Burke Street. Suite H
City: Winston-Salem State: NC Zip: 27101-
Phone number: L04) 560-8514 Email Address: pstimpson@labellar)c.com
IV. 'WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
Re .+r+a L NL QO S$ 7�60
1. Facility Name: _ G,� ,e,�1( Permit Number:
Owner Name: �y L e xv
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ �/
2. Downstream (Receiving) Sewer Information: $ inch hC Gravity El Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS _
Owner Name(s): G 11`( OF 1L E K h•► yr 'r&AJ
FORM: FTA 06-21 Page I of 5

VI. GENERAL REQUIRENIENT5
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ® Ni A
2. if the Applicant is a (Developer of low to be sold, has a Develuller's, C.) erational_r��,.r.� )j-nt.iFUf �I: D> been attached?
❑ Yes ❑ No Z N/A
3. If the Applicant, is a Home/Property Owners' Association, has an HOt1%POA.Olie-mti�itld1 eerinznt (FURlvl: HU_�,l and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes ❑ No 1Z fir A
4. Origin of wastewater: (check all that apply):
Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car dash
❑ 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 PooPTilter Backwash
® Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
a. Mature of wastewater : 1�0 °% Domestic %Commercial °ro industrial {Sze. l 5A vCAC 02"T .0103i20)}
If Industrial, is there a Pretreatment Program in effect? ❑ Yes No
6. Has a flow reduction been approved under 15A N_ .A 92�C� _Q1 !A f}? ❑ Yes Z '"lo
➢ If ►es provide a cosy% of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establis:hyneut Type (see 02T.D114(f))
Daily Design Flolvy e,b
IND. of Units
Flow
3 Bedroom Townhomes
360 gal/dwelling unit
53
20,880 GPD
gal/
GPD
gal/
GPD
gall
GPD
gal/
GPD
gabb"
GPD
Total
20,T8® GPD t
i
a See 15A NCAC J02T_.0114J_b), (dL (eA I Land (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 east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table _-- : _ AC 02T.0114 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
a? '96
8. Wastewater generated by project: A GPD (per ! A NCAC 02T .01 l 4)
Do not include future flows or previously permitted allocations
&� kIf permitted flow is zero, please indicate why:
❑ Pump Station/Force 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.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ 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 . 3 5 & b1DC (Gravi Viewers):
Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
g
1,296.21
SDR 26 PVC
g
220.47
Ductile Iron
I
Section lI & III of the N[DC 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 requirements is not allowed and a violation of the VIDC
PLMP STATION DESIGN CRITERIA (If Applicable) — 02T.0305 & tMDC (Pump Stations/Force Mains?:
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN TIES PROJECT
I . Pump station number or name: not d2plicable
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 seriice.
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
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MmCPSF'M Section 2.01 C. Lb. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A..NCAC_02T .0305thit 11:
❑ 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
➢ 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 of a multiple station power outage.
FORNI: FTA 06-21 Page 3 of 5

IX, SETBACKS & SEPA1t_ATIONS — (0213 ,0200 & 15A NCAC 02T ,0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 021 .0305lti_ ❑Yes ❑ No
7 C a MC A f OIT 01ASa r% rnn4ninc minimimn Rena ration.,, that shall be provided for sewer systems:
Setback Parameter*r - —
Separation required j
Storm sewers and other utilities not listed below (vertical)
18 inches
2Water 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-1 waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water, and .associated wetlands.
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, FIQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
Drainage systems and interceptor drains
10 feet—�
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches j
➢ If noncompliance with 02T.0305(f) or (2), see Section X.1 of this application
*15A NCAC 02T.0305(t l contains alternatives where separations in 2T.0 5 t) cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webaaag
2. Does this project comply with the minimum separation requirements for water mains? Z Yes ❑ No ❑ N/A
➢ If no, please refer to 15A NCAC 18C.0906(0 for documentation requirements and submit a separate document,
signedlsealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ❑ Yes ❑ No 21 N/A
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ Seethe Division's draft separation requirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
YOO-C I J
4. Is the project located in a river basin subject to any State buffer rules? S Yes Basin name: Pe6 OECD NO
If yes, does the project comply with setbacks found in the river basin rules per 15 A NCAC 02B .0 -t Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes Z No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105Lij6_ (additional permits/certifications)? XYes ❑ No
Per 15A NCAC 02T.0105(c)(6 ), 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, storrnwater management plans, etc.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® 1Lio
Per 15A NCAC 02T.0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
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 permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

Y, CERTIFICATIONS:
Does the submitted system comply with I5_1 NCAC 02T. the tvlinimum.Design Criteria for the Pc•rmittingof Purnp Stations
and Force Mains (latest vcniogh and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
0 Yes [_1 No
If no, for projects requiring a single variance, complete and submit the Variance. -Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit and projects regtubrig a variance aplpraval may be subject to longer
review times. For projects requiring two or more variances or where the variance is determined bar the Division to be a
significant portion of the projeect the fun technical review is required.
2. Professional Engineer's Certification:
I. Paul -A. Stimpson attest that this application for Townes at Brown Street
(Professional Engineer's name from Application Item III. t.) (Project Name from Application Item It.1 )
has been reviewed by me .and is accurate, complete and consistent with the information supplied in the plans,
specifications, engineering calculations, and an 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,
Minimum Design Criteria for Gravity Sewers (latest versions, and the Minimum Design Criteria for the Fast Track Perntittint
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. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board.. (21 NCAC 56.0701)
.. I i t l l r•. -....- --- -
i
North Carolina Professional Engineer's seal, signature, and date; `����y�(H CA/ti?O� •���i
0Q' FESS O. /
$G�lst 22052
3. Applicant's Certification per 15A NCAC 02T ,4106(b):
1, Tom Johnson attest that this application for Townes at Brown Street
(Signattu-e Authority Name from Application Item 1-3.) (Project Name from Application Item 11.1)
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 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.
MOTE - 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 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.
e►---'
Signature: _.. _ .--- - Date:—
FORM: FTA 06-21 t Page 5 of 5

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DNk'ion of Water
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 Lexington
Project Name for which flow is being requested: Townes at Brown Street
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: Lexington Regional Treatment Plant
b. WWTP Facility Permit #: NCO055786
All flows are in MGD
c. WWTP facility's permitted flow 6.5
d. Estimated obligated flow not yet tributary to the WWTP .1983
e. WWTP facility's actual avg. flow 2.4
f. Total flow for this specific request .02088
g. Total actual and obligated flows to the facility 2.65158
h. Percent of permitted flow used 40.8
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
Average
Approx.
Obligated,
Total
Pump
Daily
Current
Not Yet
Current Flow
Pump Station Station
Finn
Flow**
Avg. Daily
Tributary
Plus
(Name or Permit
Capacity, *
(Firm / pfl,
Flow,
Daily Flow,
Obligated
Available
Number) No.
MGD
MGD
MGD
MGD
Flow
Capacity***
Woodlands
.216
.0864
.01104
.05328
.06432
.02208
Brown St
5.91
2.36
1.5
.196
1.696
.664
(Swearing
Creek)
* 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 1 of 6
FTSE 10-18

II1. Certification Statement:
I Tom Johnson 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 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.
i • �• • • • •
U. 1 1� C C�' I
I ffiganin'g-tff S ign a r re
Water Resources Director
Title of Signing Official
Page 2 of 6
FTSE 10-18

0
LaBeRa
Powered by partnership,
To: W-S Regional Office
Water Quality Section
450 W. Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
Attn:
NC Department of
Enviro jment l ualit�/
'x 2°:3
Winston-Salem
Regional
Date:
8/1 /23
Project #: 223o8ig
Re:
Townes at Brown Street
We are sending you: ® Attached ❑ Under Separate Cover
❑ Shop Drawings ❑ Prints ® Plans ❑ Samples ❑ Specifications
❑ Copy of Letter ❑ Change Order ❑ Please Sign and Return ❑
Copies Date No. I Description
1 Original and one copy of fastrack application & package
1 Cover letter
1 1 $48o check
These are transmitted
❑
For Approval
®
For Your Use
❑
As Requested
❑
For Review and Comment
❑
For Bids due
❑ Reviewed
❑ Resubmit
❑ Furnish as corrected
❑ Submit
❑ Returned for corrections
❑ Return
Copies for approval
Copies for distribution
Corrected prints
Comments
Please see the attached information for your review and approval We appreciate your help. Paul Stimpson
Copy to:
(❑) w/enc.
(❑) w/enc.
(❑) w/enc.
Signed:
gag Burke Street, Suite H I Winston-Salem, NC 271011 p [phone]
www,tabellapc.com

LaBeLLa
Cover Letter/Narrative
To whom this concerns:
NC Department of
Environmental Quality
Received
'UG 2 2023
Winston-Salem
Regional Office
This request is for fast track gravity sanitary sewer permitting for 58 Townhome units called the Townes
at Brown Street. There are 58 three bedroom units at 360 gpd for a flow of 20,880 gpd. There is
1,296.21 linear feet of 8" SDR 26 PVC mains and 220.47 linear feet of ductile iron sanitary sewer main.
The items requested in the fast application have been included along with a $480 check.
We appreciate your assistance.
Respectfully submitted,
LABELLA
s
Paul A. Stimpson, PE
Regional Civil Leader/Office Manager
939 Burke Street, Suite '-i Wirstor-SaLen, NC 27101 p (704) 5e0-8 ,14
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