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HomeMy WebLinkAboutWQ0040065_Issuance of Permit_20180613 (384)Water Resources ENVIRONMENTAL QUALITY June 13, 2018 Kendra D. Parrish, P.E., Director of Engineering Town of Holly Springs 128 South Main Street Holly Springs, NC 27540 Subject: Permit No. WQ0040065 Town of Holly Springs Hensley Subdivision, Phase 5 Wastewater Collection System Extension Permit Wake County Dear Ms. Parrish: KUY (-UUrEx Gorernor MICHAEL S. REGAN secreta,l LINDA CULPEPPER Interim Director In accordance with your application received May 7, 2018, we are forwarding herewith Permit No. WQ0040065 dated June 13, 2018, to the Town of Holly Springs (Permittee) for the construction and operation upon certification of the subject wastewater collection system extension. This permit shall be effective from the date of issuance until rescinded and shall be subject to the conditions and limitations as specified therein. This cover letter shall be considered a part of this permit and is therefore incorporated therein by reference. Please pay particular attention to the following conditions contained within this permit: Condition 11.1: This permit shall not be automatically transferable; a permit modification request for a name change must first be approved by this office. Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained in accordance with 15A NCAC 2T.0403 or any individual system -wide collection system permit issued to the Permittee. It shall be the responsibility of the Permittee to ensure that the as -constructed project meets the appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding. Division of Water Resources, Raleigh Regional Office, Water Quality Operations Section www.ncwaterquality.org 1628 Mail Service Center, Raleigh, NC 27699-1628 Phone: (919) 791-4200 Location- 3800 Barrett Drive. Raleigh. NC 27609 rax: (919) 789-7159 Town of Holly Springs Permit No. WQ0040065 If you need additional information concerning this matter, please contact Ted Cashion at (919) 791-4254 or via e-mail at ted.cashion@ncdenr.gov. Sincerely, for Linda Culpepper Interim Director, Division of Water Resources by S. Daniel Smith, Regional Supervisor Water Quality Regional Operations Section Raleigh Regional Office Division of Water Resources, NCDEQ cc: William Z. Shipman, P.E., The Curry Engineering Group, PLLC (via email: zak@curryeng.com) Wake County Health Department Raleigh Regional Office Files Water Resources Central Files Page 2 of 8 North Carolina Department of Environmental Quality STATE OF NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION DEPARTMENT OF ENVIRONMENTAL QUALITY WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the Town of Holly Springs Wake County for the construction and operation of approximately 422 linear feet of 8 -inch gravity sewer to serve 24 single family homes as part of the Hensley Subdivision, Phase 5 project, and the discharge of 6,120 gallons per day of collected domestic wastewater into the Town of Holly Springs existing sewerage system, pursuant to the application received May 7, 2018 and in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 and updated in March 2008, as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 and updated March 2008, as applicable; and other supporting data subsequently filed and approved by the Department of Environmental Quality and considered a part of this permit. This permit shall be effective fro the da of issuance until rescinded and shall be subject to the specified conditions and limitations eedrein. _570� Linda Culpepper Interim Director, Division of Water Resources By Authority of The Environmental Management Commission Permit Number: WQ0040065 Permit Issued: June 13, 2018 Page 3 of 8 SUPPLEMENT TO PERMIT COVER SHEET Town of Holly Springs is hereby authorized to: Construct, and then operate upon certification the aforementioned wastewater collection extension. The sewage and wastewater collected by this system shall be treated in the Town of Holly Springs Utley Creek Wastewater Treatment Facility in accordance with Permit Number NC0063096. Permitting of this project does not constitute an acceptance of any part of the project that does not meet 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 and updated March 2008, as applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 and updated March 2008, as applicable, unless specifically mentioned herein. Division approval is based on acceptance of the certification provided by a North Carolina -licensed Professional Engineer in the application. It shall be the Permittee's responsibility to ensure that the as -constructed project meets the appropriate design criteria and rules. Construction and operation is contingent upon compliance with the Standard Conditions and any Special Conditions identified below. I. SPECIAL CONDITIONS NONE II. STANDARD CONDITIONS 1. This permit shall not be transferable. In the event there is a desire for the wastewater collection facilities to change ownership, or there is a name change of the Permittee, a formal permit request shall be submitted to the Division accompanied by documentation from the parties involved, and other supporting materials as may be appropriate. The approval of this request shall be considered on its merits and may or may not be approved. [15A NCAC 02T.0104; G.S 143-215.1(d3)] 2. This permit shall become voidable unless the wastewater collection facilities are constructed in accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 and updated March 2008, as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 and updated March 2008, as applicable; and other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110] 3. This permit shall be effective only with respect to the nature and volume of wastes described in the application and other supporting data. [15A NCAC 02T .0110] 4. The wastewater collection facilities shall be properly maintained and operated at all times. The Permittee shall maintain compliance with an individual system -wide collection system permit for the operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual permit is not required, the following performance criteria shall be met: [15A NCAC 02T .0108(b)]: Page 4 of 8 a. The sewer system shall be effectively maintained and operated at all times to prevent discharge to land or surface waters, and to prevent any contravention of groundwater standards or surface water standards. b. A map of the sewer system shall be developed and shall be actively maintained. c. An operation and maintenance plan including pump station inspection frequency, preventative maintenance schedule, spare parts inventory and overflow response has been developed and implemented. d. Pump stations that are not connected to a telemetry system shall be inspected everyday (i.e. 365 days per year). Pump stations that are connected to a telemetry system shall be inspected at least once per week. e. High-priority sewer lines shall be inspected at least once per every six -months and inspections are documented. f. A general observation of the entire sewer system shall be conducted at least once per year. g. Overflows and bypasses shall be reported to the appropriate Division regional office in accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North Carolina General Statute §143-215.1C. h. A Grease Control Program is in place as follows: 1. For public owned collection systems, the Grease Control Program shall include at least biannual distribution of educational materials for both commercial and residential users and the legal means to require grease interceptors at existing establishments. The plan shall also include legal means for inspections of the grease interceptors, enforcement for violators and the legal means to control grease entering the system from other public and private satellite sewer systems. 2. For privately owned collection systems, the Grease Control Program shall include at least bi- annual distribution of grease education materials to users of the collection system by the permittee or its representative. 3. Grease education materials shall be distributed more often than required in Parts (1) and (2) of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows. i. Right-of-ways and easements shall be maintained in the full easement width for personnel and equipment accessibility. j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of three years with exception of the map, which shall be maintained for the life of the system. 5. The Permittee shall report by telephone to a water resources staff member at the Raleigh Regional Office, telephone number (919) 791-4200, as soon as possible, but in no case more than 24 hours, following the occurrence or first knowledge of the occurrence of either of the following: Page 5 of 8 a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable of adequate wastewater transport, such as mechanical or electrical failures of pumps, line blockage or breakage, etc.; or b. Any SSO and/or spill over 1,000 gallons; or c. Any SSO and/or spill, regardless of volume, that reaches surface water Voice mail messages or faxed information is permissible, but this shall not be considered as the initial verbal report. Overflows and spills occurring outside normal business hours may also be reported to the Division of Emergency Management at telephone number (800) 858-0368 or (919) 733-3300. Persons reporting any of the above occurrences shall file a spill report by completing and submitting Part I of Form CS-SSO (or the most current Division approved form) within five days following first knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to ensure that the problem does not recur. Part II of Form CS-SSO (or the most current Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-215.1C(a1)] 6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater to the surface waters of the State. [15A NCAC 02T.0108(b)] 7. Upon completion of construction and prior to operation of these permitted facilities, the completed Engineering Certification form attached to this permit shall be submitted with the required supporting documents to the address provided on the form. A complete certification is one where the form is fully executed and the supporting documents are provided as applicable. Any wastewater flow made tributary to the wastewater collection system extension prior to completion of this Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate enforcement actions. If the permit is issued to a private entity with an Operational Agreement, then a copy of the Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been appropriately filed with the applicable County's Register of Deeds office shall be submitted with the certification. A complete certification is one where the form is fully executed and the supporting documents are provided as applicable. Supporting documentation shall include the following: a. One copy of the project construction record drawings (plan & profile views of sewer lines & force mains) of the wastewater collection system extension. Final record drawings should be clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings that are marked up or annotated with after construction information and show required buffers, separation distances, material changes, etc. b. One copy of the supporting applicable design calculations including pipe and pump sizing, velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage, surge protection, detention time in the wet well, and force main, ability to flush low points in force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power source or pump is dedicated to multiple 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. Page 6 of 8 c. Changes to the project that do not result in non-compliance with this permit, regulations, or the Minimum Design Criteria should be clearly identified on the record drawings, on the certification in the space provided, or in written summary form. Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting in non-compliance with this permit (including pipe length increases of 10% or greater, increased flow, pump station design capacity design increases of 5% or greater, and increases in the number/type of connections), regulations, or the Minimum Design Criteria. Requested modifications or variances to the Minimum Design Criteria will be reviewed on a case-by-case basis and each on its own merit. Please note that variances to the Minimum Design Criteria should be requested and approved during the permitting process prior to construction. After -construction requests are discouraged by the Division and may not be approved, thus requiring replacement or repair prior to certification & activation. [15A NCAC 02T.01161 8. Gravity sewers installed greater than ten percent below the minimum required slope per the Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been examined, a slope variance can be requested from the Division with firm supporting documentation. This shall be done through a permit modification with fee. Such variance requests will be evaluated on a case-by-case basis. Resolution of such request shall be evident prior to completing and submitting the construction certification. [ 15A NCAC 02T.0105(n)] 9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of the wastewater collection facilities. [15A NCAC 02T.01161 10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the Division's Gravity Sewer Design Criteria adopted February 12, 1996 and updated March 2008, as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June 1, 2000 and updated March 2008 as applicable; and other supporting materials may subject the Permittee to an enforcement action by the Division, in accordance with North Carolina General Statutes §143-215.6A through §143-215.6C, construction of additional or replacement wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. [15A NCAC 02T.0104; 15A NCAC 02T .0108(b -c)] 11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the creation of nuisance conditions, the Permittee shall take immediate corrective action, including those as may be required by this Division, such as the construction of additional or replacement facilities. [15A NCAC 02T.0110; 15A NCAC 02T .0108(b)] 12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes, rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or Local government agencies which have jurisdiction or obtaining other permits which may be required by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)] Page 7 of 8 FAST TRACK SEWER ENGINEERING CERTIFICATION PERMITTEE: Town of Holly Springs PERMIT #: WQ0040065 PROJECT: Hensley Subdivision, Phase 5 ISSUE DATE: June 13, 2018 This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of this permit until the Division has received this Certification and all required supporting documentation. It should be submitted in a manner that documents the Division's receipt. Send the required documentation the Regional Supervisor, Water Quality Regional Operations Section at the address at the bottom. Any wastewater flow made tributary to the wastewater collection system extension prior to completion of this Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up until a final certification is received. A Final Certification shall be a complete set of record drawings and design calculations regardless of whether partials have been submitted. PERMITTEE'S CERTIFICATION I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant to the applicable standards & requirements, the Professional Engineer below has provided applicable design/construction information to the Permittee, and the Permittee is prepared to operate & maintain the wastewater collection system permitted herein or portions thereof. Printed Name, Title Signature ENGINEERS CERTIFICATION Date I, , as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the project name and location as referenced above for the above Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was observed to be built within substantial compliance of this permit; 15A NCAC 02T; the Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 and updated March 2008, as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 and updated March 2008, as applicable; and other supporting materials. :........................................................................ North Carolina Professional Engineer's Seal w/signature & date: ❑ Final ❑ Partial (include description) Certification Comments/Qualifiers (attach if necessary): Division of Nater Resource, Raleigh Regional Office, Section www.ncwaterquality.org 1628 hlail Service Ccnter, Raleigh, NC 2.7699-1628 Phone: (919) 791-4200 T ;s:nn a,� <,,l Nr, 17rno r' roiO 7,0e_71�0 State of North Carolina Department of Environmental Quality DWR Division of Water Resources 15A NCAC 02T.0300 —FAST TRACK SEWER SYSTEM EXTENSION APPLICATION Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION Application Number: U/QOO Lfoo 5 (to be completed byDWR) All items must be completed or the application will be returned I. APPLICANT INFORMATION: 1. Applicant's name: Town of Holly prings (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: Kendra D. Parrish, P.E. per 15A NCAC 02T .0106(b) Title: Director of Engineering 4. Applicant's mailing address: 128 South Main Street City: Holly Springs State: NC Zip: 27540- 5. Applicant's contact information: Phone number: (919) 557-3939 Email Address: kendra.parrishna,hollypringsnc.us I1. PROJECT INFORMATION: 1. Project name: Hensley Subdivision, Phase 5 2. Application/Project status: ❑x Proposed(New Permit) ❑ Existing Perrrrit/Project If a modification, provide the existing permit number: WQ00 and issued date: If new construction but part of a master plan, provide the existing permit number: WQ00 3. County where project is located: Wake 4. Approximate Coordinates (Decimal Degrees): Latitude: 35.662 Longitude: - 78.858 ° 5. Parcel ID (if applicable): 0649261160 (or Parcel ID to closest downstream sewer) III. CONSULTANT INFORMATION: William Z. 1. Professional Engineer: Shipman License Number: 035027 Fim The Curry Engineering Group, PLLC Mailing address: 205 S. Fuquay Avenue, Fuquay-Varina, NC 27526 uquay- City: Varina State: NC Zip: 27526 _ Phone number: (919 ) 552 -0849 Email Address: zak@curryeng.com IV. WASTEWATER TREATMENT FACILITY (WWTF) DJORMATION: 1. Facility Name: Utley Creek Wastewater Treatment Plan Permit Number: NCO063096 Owner Name: Town of Holly Springs V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF): On881 1. Permit Number(s): WQ A9a94PiS Am Downstream (Receiving) Sewer Size: 8 inch System Wide Collection System Permit Number(s) (if applicable): WQCS 00192 Owner Name(s): Town of Holly Springs FORM: FTA 04-16 Page I of 5 VL GENERAL REQUIREMENTS Daily Design Flow a,b No. of Units 1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached? 255 gal/ day per unit ❑ Yes El No ❑N/A 6,120 GPD 2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached? ❑ Yes ❑No ON/A 3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached? GPD ❑ Yes ❑ No O N/A gal/ 4. Origin of wastewater: (check all that apply): GPD O 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: 100 % Domestic/Commercial % Commercial % Industrial (See 15A NCAC 02T .0103(20)) b Is there a Pretreatment Program in effect? ❑ Yes ❑ No 6. Has a flow reduction been approved under 15A NCAC 02T .0114(f) ❑ Yes ❑ No ➢ If yes, provide a copy of flow reduction approval letter 7. Surnmarize wastewater generated by project: Establishment Type (see02T.0114( Daily Design Flow a,b No. of Units now Single Family Residential -Dwelling Unit 255 gal/ day per unit 24 6,120 GPD gal/ GPD gal/ GPD gal/ GPD gal/ GPD gal/ GPD TtaI7 6,120 GPD a See 15A NCAC 02T .0114(bL (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 ofthe Atlantic Intracoastal Waterway to be used as vacation rentals as define d in G.S. 42A-4 b Per 15A NCAC 02T .0114(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 meas ured data. 8. Wastewater generated by project:6,120CPD (per 15A NCAC 02T .0114) ➢ Do not include future flows or previously pemnitted allocations If permitted flow is zero, indicate why: ❑ Pump Station or Cavity Sewer where flow will be permitted in subsequent permits that connect to this line ❑ Flow has already been allocated in Permit Number: ❑ Rehabilitation or replacement of existing sewer with no new flow expected ❑ Other (Explain): FORM: FTA 04-16 Page 2of5 VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MDC (Gravity Sewers): 1. Summarize gravity sewer to be permitted: Size (inches) Length (feet) Material 8 422 DIP ➢ Section II & IN 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 l: COMPLETE FOR EACH PUMP STATION INCLUDED IN THLS PROJECT 1. Pump station number or name: 2. Approximte Coordinates (Decimal Degrees): Latitude: DLongitude: - ° 3. Design flow of the pump station: millions gallons per day (firm capacity) 4. Operational point(s) of the purr>p(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 powers ource 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 IK. 'SETBACKS &SEPARATIONS —(0213.0200& 15A NCAC 02T.0305(f)): 1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g1 ➢ 15A NCAC 02T_0305(f) contain, minirrnim .cenn ntion., that -hall he nrovided for sewer systems: ElYes El No 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 II 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 groundwater lowering and surface drainage ditches 10 feet Any building foundation 5 feet Any basement 10 feet Top s lope 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 ➢ 15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(f) cannot be achieved. > **Stream classifications can be identified using the Division's NC Surface Water Classifications webnage ➢ If noncompliance with 02T.0305(f) or (g). see Section X of this application 2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ➢ 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 all setbacks found in the river basin rules per 15A NCAC 02B .0200? 0 Yes ❑ No ➢ This would include Trout Buffered Streams per 15A NCAC 213.0202 4. Does the project comply with an individual 404 Perrnit or any 401 Certifications? 0 Yes ❑ No ➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters ➢ Information can be obtained from the 401 & Buffer PenTritting Branch 5. Does project comply with 15A NCAC 02T.0105(c)(61 (additional pemrits/certifications)? El Yes El 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 perrrrit 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.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 ❑x No ➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location). Eligh priority lines shall be inspected by the permittee or its representative at leastonce 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 systemcomply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations and Force Mains (latest version, and the Cavity 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. ApMoval of the request is required prior to submittal of the Fast Track Application and supporting documents . 2. Professional Engineer's Certification: L.L1 AM 'L. SN t PnxAV1J attest that this application for (Professional Engineer's name from Application Item III.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, Gravity Sewer Minimum Design Criteria for Gravity Sewers (latest version), andthe Minimum Design Criteria forthe Fast -Track Perrnitting of Pum 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. RO AL ,9 = . � I • 03502 6� - ° a 04. 4 • ?,� :..........................................................: North Carolina Professional Engineer's seal, signature, and date: 3. Applicant's I, per If NCAC 02T .0106(b): ature Wuthority's name & title from Application Item I.3.) attest 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 systemto 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 t hat 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 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application package shall be guilty of a Class 2 nrisdemeanor, which may include a fine not to exceed $10,000 as w 11 as civil penalties up to $25,000 per violation. Signature: _ Date:—i I� FORM: FTA 04-16 Page 5 of 5 CcT State of North Carolina Department of Environment, Health and Natural Resources • 0 Division of Environmental Management James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary A. Preston Howard, Jr., P.E., Director March 31, 1995 Stepanie L. Sudano, P.E., Town Engineer Town of Holly Springs Post Office Box 8 Holly Springs, North Carolina 27540 RE: Town of Holly Springs Request for Adjusted Daily Wastewater Flow Wake County Dear Ms. Sudano: On March 15, 1995, the Division received your wastewater flow reduction request and supporting documentation concerning wastewater flows associated with present residences within the Town of Holly Springs. Your letter requested the Division allow the reduction of wastewater flows from 120 GPD per bedroom as required in required by North Carolina Administrative Code to 255 GPD per household for single family residential units. In support of your request, water consumption data and wastewater information was supplied from households located in Holly Springs. An evaluation was completed by the Division in accordance with 15A NCAC .0219(1)(3) using the water consumption data submitted, twelve (12) months of data starting from January 1994. The peak month was determined to be January 1994 based on average wastewater generated per customer. Using the upper 10% of the water consumption data for the month of January, eliminating industries, commercial properties and several inaccurate residential readings, Division staff verified the flow rate of 255 GPD per household. In view of the information submitted, the Division of Environmental Management hereby approves the use of 255 GPD per single family residence in all applicable non -discharge permit applications for future wastewater collection extensions which will be made tributary to the Town of Holly Springs Wastewater Treatment Plant (Permit No. NC0063096). This consideration applies to any applicable future projects submitted to this Division as well as any projects which are presently under review. Wastewater flows presently tributary to the wastewater treatment facilities can be adjusted upon negotiations between the Town of Holly Springs and the Raleigh Regional Office. If you have any questions or comments regarding this matter, please contact Mr. Michael D. Allen at (919) 733-5083 ext. 547. Since y, A. Preston Howard, Jr., P.E. cc: Raleigh Regional Office, Water Quality Section State Engineering Review Group P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-7015 FAX 919-733-2496 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper Entity Requesting Allocation: State of North Carolina Department of Environmental Quality Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications (FTSE 04-16) HHHunt Shaffer, LLC Project Name for which flow is being requested: Hensley Subdivision Phase 5 More than one FTSE maybe 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: Utley Creek Wastewater Treatment Plant b. WWTP Facility Permit #: NC 0063096 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 6.0 6,120 GPD 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: (B) (C) (A) Obligated, Design Pump Not Yet Average Daily Station Firm Flow** (Name or Capacity, * (Firm / p0, Number) MGD MGD N c q ` I U.17 (B) (C) (D)=(B+C) (E)=(A-D) Obligated, Approx. Not Yet Total Current Current Avg. Tributary Flow Plus Daily Flow, Daily Flow, Obligated Available MGD MGD Flow Capacity*** * The Firm Capacity 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. *** 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): _ `(Wc(vt Oaks Ks Downstream Permit Number: 6"9?28 W Q Q d O$) N' Page 1 of 6 FTSE 04-16 'III. Certification Statement: I ) L��� certify to the best of my knowledge that the addition of the volume of wast water 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 indicates acceptance of this wastewater flow. Sign Date Page 2 of 6 FTSE 04-16 State of North Carolina Department of Environment and Natural Resources -DWRDivision of Water Resources Divislon of Waiter Resources Watershed Classification Attachment (WSCAS 01-15) Along with this form, submit a color copy of a USGS Topographic Map to identify the project area and waterbodies. Each map or maps must show the location of the sewer system and include location identifiers where the system traverses over or near waterbodies. The map should have location ID's for each different waterbody and corresponding classifications should be recorded. Include the completed form and map portions with the permit application for submittal to the appropriate review agency. A list of the Division's regional offices, their county coverage, and contact information can be obtained from: http://portal.ncdenr.org/web/wq/home/ro Location ID Name of Waterbody' River Waterbody Waterbody Basin Index No. Classification N/A N/A N/A N/A N/A 1 If unnamed, indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins. 1 certify that as a Registered Professional Engineer in the State of North Carolina that 1 have diligently followed the Division's instructions for classifying waterbodies and that the above classifications are inclusive of the stated project, complete and correct to the best of my knowledge and belief. 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