WQ0045884_Application (FTSE)_20241007

Alfred Benesch&Company
benesch 2359 Perimeter Pointe Parkway,Suite 350
ECEfVED/NCDEC/D' Charlotte,NC 28208
www.benesch.com
P704-521-9880
704-521-8955
WORCIS
Transmittal r O E VILLE REGIONAL OFFICE
To: NCDEQ—Water Quality Section Date: 10/03/2024 Job No. 17000602
Mooresville Regional Office Subject: CMS Park Road Elementary School
Attn: Andrew Pitner/Maria Schutte Application—15`Submittal
610 E. Center Avenue
Mooresville, North Carolina 28115
❑ Mail ❑ Messenger ❑ Next Day Delivery ❑ UPS Ground ❑ Other: Hand
Delivery
WE ARE SENDING YOU: ❑Attached ❑ Under separate cover:
COPIES DATE DESCRIPTION
1 10/02/24 Cover Letter for FTA 10-23
1 n/a FTA 10-23 Application Instructions/Checklist
1 9/26/24 Check No. 233838 (Review Fee)
1 8/23/24 Water and Sewer Flow Acceptance Letter
1 8/23/24 Flow Tracking for Sewer Extension Application (FTSE-10-23)
1 n/a 8.5 x 11 USGS Topo Map
1 n/a 8.5 x 11 Site Aerial Map
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑Return corrected prints
❑ For review and comment
Remarks: Andrew,
Enclosed are application documents to permit approximately 768-LF of private sanitary sewer to
serve a new building on the campus of Park Road Elementary School in Charlotte, NC.
These items are being submitted for your review and/or approval.
Please let us know if you have questions or require additional information.
cc: Lester A. Barnes Signature: Lester A. Barnes, PE
Alejandro Mandujano Project Manager
PS01-0998-06form

Alfred Benesch&Company
2359 Perimeter Pointe Parkway,Suite 350
benesch Charlotte,NC 28208
www.benesch.com
P 704-521-9880
F 704-521-8955
CMS Park Road Elementary School RECOVENINICIDEO/DINR
Benesch Project 17000602 m 7 Z024
October 2 rid 2024 VVQAOS
MOORESVILLE REGIONALOFFICE
Private Sanitary Sewer Application Cover Letter
This private sanitary sewer extension will serve a new elementary school at 3701 Haven Drive,
Charlotte, Mecklenburg County,North Carolina(Parcel ID: 175-18-226). The private extension
to be permitted will consist of(9) new manholes, +/-768-LF of new 8-inch DIP gravity sewer
and related appurtenances.
The proposed private gravity sewer main will discharge to an existing public 8-inch VCP gravity
service line located inside the parcel in an existing public sewer easement, which is owned and
operated by Charlotte Water(PWS ID# 0160010). Ultimately, wastewater flows will terminate
at the Sugar Creek Wastewater Treatment Plant (Permit#NC0024937).
The total flow because of this project is calculated to be 13,500 gallons per day (gpd).
In addition to this cover letter, the following items are being submitted as part of the sewer
extension application package:
• Executed FTA 10-23 1
• Flow Acceptance Letter
• Flow Tracking/Acceptance Form (FTSE 10-23)
• Site Map— 8.5"xl I"USGS Topographic Map
• 8.5"x I I" Aerial Map
• Application Fee - $600

State of North Carolina
Department of Environmental Quality
Division of Water Resources
DWR
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23& SUPPORTING DOCUMENTATION
Application Number: y ' 14 (to be completed by Dwit)
OCT 7 02
All items must be completed or the application will be returned
WOROS
I. APPLICANT INFORMATION: MOORESVILLE€EGIONAL OFFICE
1. Applicant's name: Charlotte Mecklenburg Board of Education (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: Gary S.Adams per 15A NCAC 02T.0106(b)
Title: Director of Architecture
4. Applicant's mailing address: 3301 Stafford Drive
City: Charlotte State:NC Zip: 28208-
5. Applicant's contact information:
Phone number: [phone] Email Address: garys.adams&cros.kl2.ne.us
II. PROJECT INFORMATION:
1. Project name: CMS Park Road Elementary School
2. Application/Project status: ❑Proposed(New Permit) ❑Existing Permit/Project ❑ARPA funded
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:Mecklenburg
4. Approximate Coordinates(Decimal Degrees):Latitude: 35.17786' Longitude:-80.84885'
5. Parcel ID(if applicable): 175-18-226(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Lester A.Barnes License Number: 040973
Firm:Benesch
Mailing address:2359 Pen-niter Pointe Parkway, Suite 350
City:Charlotte State:NC Zip: 28208-
Phone number: [phone] Email Address: lbames@_benesch.com
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name: Sugar Creek WWTP Permit Number:NCO024937
Owner Name: Charlotte Water
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s):WQ
2. Downstream(Receiving)Sewer Information: inch ❑ Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s)(if applicable): WQCS
Owner Name(s):
FORM: FTA 10-23 Page 1 of 5

V1. GENERAL REQUIREMENTS
1. If the Applicant is a Privately-Owned Public Utility,has a Certificate of Public Convenience and Necessity been attached?
F-1 Yes [:]No M N/A
2. If the Applicant is a Developer of lots to be sold,has a Developer's Operational Agreement(FORM:DEV)been attached?
❑Yes [-]No M N/A
3. If the Applicant is a Home/Property Owners'Association,has an HOA/?OA Operational Agreement(FORM:HQA)and
supplementary documentation as required by 15A NCAC 02T.01 15(c)been attached?
El Yes El No 0 N/A
4. Origin of wastewater: (check all that apply):
❑Residential(Individually Owned) El Retail(stores,centers,malls) 0 Car Wash
F-1 Residential(Leased) El Retail with food preparation/service 0 Hotel and/or Motels
School/preschool/day care ❑ Medical/dental veterinary facilities El Swimming Pool/Clubhouse
Food and drink facilities El Church El Swimming Pool/Filter Backwash
❑Businesses offices factories El Nursing Home ❑ Other(Explain in Attachment)
5. Nature of wastewater %Domestic 100%Commercial %Industrial(See 15A NCAC 02T.0I03(20))
If Industrial,is there a Pretreatment Program in effect? F-]Yes F-1 No
6. Hasa flow reduction been approved under 15A NCAC 02T.0114(f)? E]Yes M No
> If yes,provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type(see 02T.0114(f)) Daily Design Flow',b No.of Units Flow
Elementary School 15 gal/student 900 13,500 GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
Total 13,500 GPD
a See 15A NCAC 02T .01 14(b), (d),(e)(1) and(c)(2) for caveats to wastewater design flow rates (i.e.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 15A NCAC 02T.01 14(c),design flow rates for establishments not identified[in table 15A NCAC 02T.0 114] shall be
determined using available flow data,water using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by project: 13,500 GPD(per 15A NCAC 02T.0114 and G.S. 143-215.1)
> Do not include future flows or previously permitted allocations
If permitted flow is zero,please indicate why:
F-1 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:
F-1 Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other(Explain):
FORM: FTA 10-23 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA(If Applicable)-02T.0305&MDC(Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
8 768 DIP
➢ Section 11&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 requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA(If Applicable)—02T.0305&MDC(PumRStations/Force
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
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 purnp(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
MDCPSFM Section 2.0 1 C.I.b. Fj Grinder Pump E] Mechanical Bar Screen Fj Other(please specify)
6. Power reliability in accordance with 15A NCAC 02T.0305(b)(1):
❑ 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):
F-1 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.
FORM: FTA 10-23 Page 3 of 5

IX. SETBACKS&SEPARATIONS—(02B.0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T.0305(t)&(g)? ❑Yes ❑No
15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
Setback Parameter* Separation Required
Storm sewers and other utilities not listed below(vertical) 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 I1 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,HQW,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 10 feet
Drainage systems and interceptor drains 5 feet
Any swimming pools 10 feet
Final earth grade(vertical) 36 inches
➢ If noncompliance with 02T.0305(f)or(g),see Section X.1 of this application
*15A NCAC 02T.0305(g)contains alternatives where separations in 02T.0305(f)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 webpgge
2. Does this project comply with the minimum separation requirements for water mains? ❑Yes ❑No ®N/A
➢ If no,please refer to 15A 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? ❑Yes ❑No ®N/A
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the 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.
4. Is the project located in a river basin subject to any State buffer rules? ❑Yes Basin name: ®No
If yes,does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑Yes ❑No
➢ This includes Trout Buffered Streams per 15A NCAC 213.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑Yes ®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.0105(c)(6)(additional permits/certifications)? ®Yes [:]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,stormwater management plans,etc.).
7. Does this project include any sewer collection lines that are deemed"high-priority?" ❑Yes ❑No
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 10-23 Page 4 of 5

X. CERTIFICATIONS:
I Does the submitted system comply with 1I5A NCAC 02T, the Minimum Design Criteria for the Permitting Of PUnn) Stations
and Force Mains(latest version),and the Gravity Sewer Minimum Design Criteria(latest version)as applicable?
N'es ❑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 proiects requiring a variance approval njay be subject to longer
review times.For proiects requiring two or more variances or where the variance is determined by the Division to be a
significant Portion of the project,the full technical review is required.
2. Professional Engineer's Certification:
Lester A. Barnes CMS Park Road Elementary School
attest that this application for
(Professional F.nDneer's name from Application Item III I ) (Project Name from Application 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 has been prepared in accordance with the applicable regulations.
Minimum and the Minimum Design Criteria for the Fast-Track permitting
of Pump Stations and Forcqj�Jains(latest yqsjon�, Although other professionals may have developed certain portions of this
submittal package, inclusion Of these materials Under mN 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 -Lliit)' of a Class 2 misdemeanor. which may
include a fine not to exceed S 10.000.as well as civil penalties up to 525,000 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)
North Carolina Professional Engineer's seal,signature,and date: y\ CARO
V--s S
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71
GIN
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4
Applicant's Certification per I 5A NCAC 02T.0 1 06(b):
4200
Gary S. Adams— attest that this application for Park Road Elementary School
name from Application—Itell) -- Wroject Name from Application Item 11 1
attest that this application has been reviewed by me and is accurate and complete to the best of niv 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 ,in 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 he 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 the as incomplete.
NOTE -- In accordance with General Statutes 143-215,6A and 143-115,613. any person who knkmirwiv makes anv false
statement. representation, or certitication in any application package shall be guilt} of a Class 2 misdemeanor. NNhich may
include a title not to exceed 510,000 as well as civil penalties Lip to S25.000 per violation.
tll 2
Si-nature: Date: 9i 17,
FORM: FTA 10-23 P a,-,e > o i's

CHARLOTTE
Wt)TER
August23, 202
Mr. Steve Harrington
Benesch
2359 Perimeter Pointe Parhvvmv
8uite35O
CAodmfto. NC282U8
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
CMS PARK ROAD ELEMENTARY SCHOOL
3701 HAVEN DRIVE, CHARLOTTE, NC 28209
CLTWATER TRACKUNG#20244517
After en analysis of the sanitary sewer associated with the proposed design of project, 20244517,
CMS PARK ROAD ELEMENTARY SCHOOL, it was determined that then* is sufficient capacity to
accommodate the proposed sewer flow of13,500 gallons per day(000 students xY5 gpmystmment)
at the connection point(s) indicated on the submitted utility plan for transmission to the Sugar Creek
Wastewater Treatment Plant; NPDES permit number NCO024937, for treatment. This acceptance of
flow is based upon the existing capacity of the designated publicly owned treatments works.
Please find FTSE document attached.
Charlotte Water({}LTVVater) agrees to furnish water bo the subject project. Thevvaterqua|ib/tothe
subject project ionegu|atedbythe State Drinking Water Act Amendments of1R86 and The Water
Supply Management Plan, PWS ID # 0160010 on file with the Public Water Supply Section of
NCDEQ However, CLTVVeter cannot guarantee o constant pressure or quality offlow.
The applicant should understand that due to the involvement of other agencies and continuing
growth of the water system, the ability tn provide service for future projects cannotbeguananteed
nor reserved. Connection to the CL TWater system is accepted on a first come, first served basis.
The applicant should understand that this letter is not authorization to construct or extend private
water or sewer systems, as the appropriate local or State permits are required prior to construction.
If the appropriate authorization to constructpermits are not obtained, construction has not started
within two L2) years of issuance of this flow acceptance and payment for any service connections
have not been received within two L2) years of issuance of this flow acceptance letter, this flow
acceptance approval shall be rescinded, and a new flow acceptance request must be made.
The CAP analysis performed determines available capacity within the existing public gravity sewer
system. The developer is responsible for any additional private or public sewer infrastructure
required 10 convey flow from the proposed development ho the existing public gravity sewer.
If you have any questions, please do not hesitate to contact me at(704)432-5801.
Sincerely,
~�
^� ' .'_ �
~-_~~.- ~ . ~--~-~_~_
Guillermo /\nZOlO / Engineering Assistant
CHARLOTTE WATER
Charlotte Water 51008/ookshi/e Blvd,Charlotte,N[2O21O ckar|ooewacer»rg

State of North Carolina
Department of Environmental Quality
Division of Water Resources
r Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: BeneSh
Project Name for which flow is being requested: CMS Park Road Elementary School
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.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: McAlpine Creek, Irwin Creek, Sugar Creek
b. WWTP Facility Permit#: NC0024970, NC0024945, NCO024937
flll flows are in MGD
c. WWTP facility's permitted flow 99.000
d. Estimated obligated flow not yet tributary to the WWTP 17.146
e. WWTP facility's actual avg. flow 69.858
f. Total flow for this specific request 0.0135
g. Total actual and obligated flows to the facility 86.38E
h. Percent of permitted flow used 87.3
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) (F-)=(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/p fl, 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): Unknown
Downstream Permit Number: Unknown
Page I of 6
FTSE 10-23

III. Certification Statement:
I Kerl Cantrell 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.
Digitally signed by Keri Cantrell
Date: 2024.08.23 09:05:24 -04'00' 8/23/2024
Adobe Acrobat version: 2024.002.20895
Signing Official Signature Date
Chief Engineer
Title of Signing Official
Page 2 of 6
F TS 10-23

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