WQ0039952_Application (FTSE)_20180806

RECEIVED/NCDENR/DW R
AUG �, 2018
WQROS
MOORESVILLE REGIONAL OFFICE
LITTLE
Letter of Transmittal
From:
Little
5815 Westpark Drive
Charlotte, NC 28217
Date:
August 2, 2018
Job Number:
112.5779.00
Attention: NCDEQ Water Qualit
Section
To: NCDEQ
610 East Center Avenue
Mooresville, North Carolina 28115
Re: Charlotte Latin School -
New Upper School
Cover Letter
2
05/03/18
Approval Letter Permit #: WQ0039952
1
08/02/18
WE ARE SENDING YOU:
® Attached ❑ Under separate cover via UPS the following items:
❑ Shop Drawings ❑ Prints ❑ Samples ❑ Specifications
❑ Copy of Letter ❑ Change Order ❑ Other See Below
Copies
Date
Number Description Action Req'd
2
07/12/18
Fast -Track Sanitary Sewer Extension Application
Modification to Permit #: W00039952
2
08/02/18
Cover Letter
2
05/03/18
Approval Letter Permit #: WQ0039952
1
08/02/18
Review Fees $480.00
Not marked
❑
For bids due
THESE ARE TRANSMITTED AS CHECKED BELOW:
®
For approval
❑
Reviewed
❑
For your use
❑
Rejected
❑
As requested
❑
Furnish as Corrected
❑
For review and comment
❑
Not marked
❑
For bids due
REMARKS:
❑ Revise and Resubmit
❑ Submit _ copies for distribution
❑ Return _ corrected prints
❑ Prints returned after loan to us
Attached is the Fast -Track Application for the modification of Permit #: W00039952 at Charlotte Latin School.
Please let us know if you need anything else for review and approval. Thank you.
COPY TO
Signed:
Frank . Miller, PE
Email: ([e-mail]
I/ enclosures are not as noted, please notify us.
Lund Development

LITTLE
August 2, 2018 RECEIVED/NCDENR/DWR
NCDEQ AUG ? 2018
Mooresville Regional Office WgROS
Water Quality Section MOORESVILLE REGIONAL OFFICE
620 East Center Avenue
Mooresville, North Carolina 28115
Reference: Charlotte Latin School — New Upper School
Fast -Track Sanitary Sewer Application (Permit # WQ0039952 Modification)
NCDEQ,
The enclosed submittal is for a modification to the previously approved Fast Track Sanitary Sewer
Application for Charlotte Latin School (Permit #W00039952). We are making the following
modifications to the permit:
• Increase total line length from 317 LF to 406 LF
• Decrease line size from 8 -inch to 6 -inch
• Add 355 LF of 3 -inch force main
This submittal includes the following:
• Cover Letter
• Fast -Track Sanitary Sewer Application
• Application Fee
• Approval Letter for Permit #W00039952
Please contact us if there are additional items needed for review and approval. Thank you.
Sincerely,
Little f A
Frank G. Miller, PE
5815 Westpark Drive
Charlotte NC 28217
Voice 704.525.6350
Fax [phone]
www.littleonline.com
0

RECEIVEDMCDENR/DWR State of North Carolina
DWR ( AJu 3 2018 Department of Environmental Quality
Division of Water Resources
15A NCACt'�'RE�QALLRGIONALCt� 4-126 & SUPPORTINSYSTEM G DOCUMENTATION
ION APPLICATION
Division of Water Resources r0
99113ZH'
Application Number: ,gG (to p be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION
1. Applicant's name: Charlotte Latin Schools, Inc. (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: 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: [e-mail]
IL PROJECT INFORMATION:
1. Project name: Charlotte Latin School - New Upper School
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If modification, provide the existing permit number: W00039952 and issued date: May 3. 2018
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)
111. 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: fmiller(a),littleonline.com
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): WQNCEMC 12197 Downstream (Receiving) Sewer Size: 12 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS_
OwnerName(s): Charlotte Water
FORM: FTA 04-16 Page] 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. Has a flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ❑ No
➢ If yes, provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(D)
Daily Design Flow a,b
No, of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
0 GPD
a See 15A NCAC 02T .0114(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 .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
S. Wastewater generated by project: 0 GPD (per 15A NCAC 02T .0114)
➢ 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.0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
6 406 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 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: PS -01
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.0783° Longitude: -80.7738°
3. Design flow of the pump station: 0.014496 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 50 gallons per minute at 30 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
3
355
PVC/DIP
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(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & fel ® Yes ❑ No
➢ 15A NCAC 02T.0305(f) 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 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 ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
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
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications weboave
➢ If noncompliance with 02T.0305(f) or (gl, see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No M 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 213.0202
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.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 ® 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/Altemative 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:
I i (-AvtV-- A tt cr attest that this application for
(Professional Engineer's name from Application Item III. I.)
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), 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 143-215.66, 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. . mupniru, „
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Cl Catiion l4�Vper A NCAC 02T.(� 1M
II I 1 r c V
i
(Signature Authbiljty's/name & title from Application Item
Q3£3638
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 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 *well as civil penalties up to $25,000 per violation.
Signature:
Date: 7 // /Y
FORM: FTA 04-16 Page 5 of 5