WQ0039952_Application_20180503

RECEIVED/NCDENR/OWR
MAY 01 2018
WQROS
MOORESVILLE REGIONAL OFFICE
Las,I,. TTe,L„E
Letter of Transmittal
From:
Little
5815 Westpark Drive
Charlotte, NC 28217
Date:
April 20, 2018
Job Number:
112.5779.00
Attention: NCDEQ Water Quality Section
To: NCDEQ
610 East Center Avenue
Mooresville, North Carolina 28115
Re: Charlotte Latin School -
New Upper School
04/20/18
gregyEDINCIDENRID
2
AP ` 3 QUID
WE ARE SENDING YOU:
WQROS
® Attached El Under separate cover via UPS the fgllq�yj �t®1C@E ReaIONA OFFICE
❑ Shop Drawings ❑ Prints ❑ Samples ❑ Specifi s
❑ Copy of Letter ❑ Change Order ❑ Other See Below
Copies
Date
Number Description Action Req'd
2
04/20/18
Fast -Track Sanitary Sewer Extension Application
2
04/20/18
Cover Letter
2
We
Site Ma USGS Ma
2
n/a
Site Ma Aerial
1
04/19/18
Review Fees $480.00
❑
For review and comment
❑
Not marked
❑
Prints returned after loan to us
THESE ARE TRANSMITTED AS CHECKED BELOW
®
For approval
❑
Reviewed
❑
Revise and Resubmit
❑
For your use
❑
Rejected
❑
Submit _ copies for distribution
❑
As requested
❑
Furnish as Corrected
❑
Return _ corrected prints
❑
For review and comment
❑
Not marked
❑
Prints returned after loan to us
❑
For bids due
REMARKS:
Attached is the Fast -Track Application for the private sanitary sewer line rehabilitation at Charlotte Latin School.
Please let us know if you need anything else for review and approval. Thank you.
COPY TO
if enclosures are not as noted, please notify us.
Land Derrlopmenl
Signed: _
�Al —
Frank G. Miller, PE
Email: ([e-mail]

0
April 30, 2018
DWQ
Division of Water Resources
Mooresville Regional Office
Water Quality Section
610 Center Avenue
Mooresville, NO 28115
Re: Charlotte Latin School — New Upper School
Fast Track Sewer System Application
To Whom It May Concern:
Attached you will find the following for the referenced project:
1. One original and one copy of the application with attachment
2. The application fee of $480
3. 8.5"x11" color copy of a USGS topo map with project location
4. 8.5"x11" color aerial map with project location
LITTLE-
RECENEDINCDENRIDWR
MAY 0 12018
WORDS
MOORESVILLE REGIONAL OFFICE
The Charlotte Latin School — New Upper School project is to construct a new high school
classroom building that will also house new administration offices. One existing classroom
building and the existing administration building will be demolished as part of this project. Part of
the existing sewer system will need to be relocated to build the new building. The total K-12
student body at Charlotte Latin School is about 1,400 students and is not expected to increase.
The existing sewer system at Charlotte Latin was installed around the year 1970. The personnel
involved with the school at that time are no longer associated with the school. No existing permit
information has been found in the files.
Sincerely,
AMiller, Fran.E.
Land Development Services
Little
[e-mail]
Phone: [phone]
5815 Waxtpirk Drvn
Chad olle VC 282'7
Voice 704.525 6%0
Fax [phone]
www lilueonllne.ccm
■

State of North Carolina
PMOO,LR Department of Environmental Quality
Division of Water Resources
15A NCAC 02T.0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dhdslon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: V y1 `K Ooyrib `� ( MAY O 1 2018to be completed by DWR) RECENEDINC1 2018WR
All items must be completed or the application will be returned
OS
I. APPLICANT INFORMATION: WQRGI
MOORESVILLE REGIONAL OFFICE
1. Applicant's name: Charlotte Latin Schools. Inc. (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual E Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Fletcher Gregory per 15A NCAC 02T .0106(6)
Title: Director of Finance
4. Applicant's mailing address: 9502 Providence Road
City: Charlotte State: NC Zip: 28277-_
5. Applicant's contact information:
Phone number: [phone] Email Address: fgregory(acharlottelatin.org
II. PROJECT INFORMATION:
1. Project name: Charlotte Latin School -New Upper School
2. Application/Project status: E Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000 and issued date: See Attachment
If new construction but part of a master plan, provide the existing permit number: W000
3. County where project is located: Mecklenburg
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.0788° Longitude: -80.7747°
5. Parcel ID (if applicable): 22513564
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Frank G. Miller License Number: 038668
Firm: Little Diversified Architectural Consulting Inc.
Mailing address: 5815 Westpark Drive
City: Charlotte State: NC Zip: 28217
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: McAlpine W WTP Permit Number: NC 0024970
Owner Name: Charlotte Water
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQNCEM 112197 Downstream (Receiving) Sewer Size: 12 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
OwnerName(s): Charlotte Water
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 NN/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 NN/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No NN/A
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
N 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: 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T.0103(20 )
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T.01 14(f) ❑ Yes ❑ No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01 14(f)
Daily Design Flow'"
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
0 GPD
a See 15A NCAC 02T.01 14(b), (d). (e)(1) and (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
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.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:
N Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.030 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 317 D.I.P.
➢ Section II & 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
VIII. 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: 0Longitude:
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 .0305(h)(1):
❑ Standby power source or pump with 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
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(0):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(f) & (g) ® Yes ❑ No
15A NCAC 02T.0305(t) 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 lI impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS -1 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
5 feet
Any basement
10 feet
Top sloe 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 02T.0305(a) contains alternatives where separations in 02T.0305(fl cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
)o If noncompliance with 02T.0305(fl 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 2B.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(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(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 15A NCAC 02T.04021 "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 ❑ N/A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the 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 Pump Stations
and Force Mains (latest version), and the Gravity Sewer 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:
-(-ale Ml kr
name from Application Item 111. 1.)
that this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. 1 further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — 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. 1 .,,111
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's grtification per 15A NCAC 02T
& title from Application Item
that this application for
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 StatAt143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representato , or certification in n application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not toe a 4,$10,000 as well 4 c vil penalties up to $25,000 per violation.
Signature: --"a I � A&A A rVV _I Date: 1, I T,-/ F
FORM: FTA 04-16 Page 5 of 5

E
LITTLE
April 20, 2018
NCDEQ
Mooresville Regional Office
Water Quality Section
620 East Center Avenue
Mooresville, North Carolina 28115
Reference: Charlotte Latin School — New Upper School
Fast -Track Sanitary Sewer Application
NCDEQ,
The enclosed submittal is for a proposed rehabilitation of the existing private sanitary sewer system on
the campus of Charlotte Latin School. This rehabilitation includes 317 LF of 8 -inch ductile iron pipe
gravity line. This submittal includes the following:
• Cover Letter
• Fast -Track Sanitary Sewer Application
• Application Fee
• Site Maps
Please contact us if there are additional items needed for review and approval. Thank you.
Sincerely,
Little
Frank G. Miller,
5815 Westpark Drive
Charlotte NC 28217
Voice 704.525.6350
Fax [phone]
w .liltleonline.com
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