WQ0040405_Application (FTSE)_20180925

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
ISA NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
DIvlslon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: W Q 00 ''a't7 `F q,5(to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1.
Applicant's name: City of Sanford (company, municipality, I-IOA, utility, etc.)
2.
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3.
Signature authority's name: Paul Weeks per 15A NCAC 02T .0106(b)
Title: City Engineer
4.
Applicant's mailing address: PO Box 3729
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City: Sanford State: NC Zip: 27330-
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5.
Applicant's contact information:
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Phone number: 919 777-1119 Email Address: [e-mail]
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II. PROJECT INFORMATION:CZ
v
1.
Project name: Botany Woods Area Sewer Extension
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2.
Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
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a.
If a modification, provide the existing permit number. WQ00 and issued date:
p
If new construction but part of a master plan, provide the existing permit number: WQ00
3.
County where project is located: Lee
4.
Approximate Coordinates (Decimal Degrees): Latitude: 35,4954' Longitude:-79.2097'
5.
Parcel ID (if applicable): 9633-96-8069-00,_9633-96-1045-00, 9633-95-0679-00, 9633-85-5599-00, 9633-75-6455-00,
9633-94-7612-00
(or Parcel fD to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Mike Apke License Number: 027394
Firm: McGill Associates P.A.
Mailing address: 5 Regional Circle, Suite A
City: Pinehurst State: NC Zip: 28374-
Phone number: 910 295-3159 Email Address: mike.apke(�mceilleneineers.cam
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Big Buffalo Wastewater Treatment Plant Permit Number: NCO024147
Owner Name. City of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): W -Unknown Downstream (Receiving) Sewer Size: 30 inch
System Wide Collection System Permit Number(s) (if applicable: WQCS0000543
Owner Name(s): City of Sanford
FORM: FTA 04-16 Page 1 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 ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's O erational Ag
greement FORM: DEV been attached?
❑ Yes ❑No ®NIA
3. If the Applicant is a 1-iome/PCODerty Owners' Association. has an Operational Agreement _(FORM: HOA) been attached?
❑ Yes []No ®NIA
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
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /CIubhouse
❑ 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))
4 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 vesprovide a copy of flow reduction aporoval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.01140
Daily Design Flow'-s
No. of Units
Flow
3-Bedroom Dwelling Unit
120 gal/day/bedroom
36
12,960 GPD
gall
GPD
Sall
GPD
gal/
GPD
gall
GPD
gal/
GPD
Total
12,960 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. 42A4).
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 measured data.
8. Wastewater generated by project: 12,960 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:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

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
4,722
PVC
8
582
DIP
➢ 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: _- Longitude: -
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(t)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305 &
➢ 15A NCAC 02T.0305 contains minimum separations that shall be rovided for sewers stems:
® Yes ❑ 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-1 waters of Class I or
CIass 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 Iowering 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 interce for drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02T.0305 contains alternatives where separations in 02T.0305(fl cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications web a e
➢ 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 ❑ MA
➢ 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 ❑ NIA
➢ This would include Trout Buffered Streams per I5A 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 021.0105(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 ❑ NIA
➢ 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 02L the Minimum Desi n 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 re uired prior to submittal of the Fast Track Application and suj!porting documents,
2. Professional Engineer's Certification:
I, Michael S. A ke PE _ attest that this application for
(Professional Engineer's name from Application Item IIIA.)
Botany_ Woods Area Sewer Extension
(Facility name from Application Item II.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), 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 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0I06(b):
1,
Paul Weeks, City En(
(Signature Authority's name & title from
er
Item 1.3.)
Botany Woods Area Sewer Extension
(Facility name from Application Item II.I.)
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 ap lication package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well vi penalh up to $25,000 per violation.
Signature:
Date:
FORM: PTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
Division of water Resources Flow TrackinglAcceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: City of Sanford
Project Name for which flow is being requested: Botany Woods Area Sewer Extension
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 wastewaterflow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Big Buffalo Wastewater Treatment Plant
b. WWTP Facility Permit #: NCO024147
All flows are in MGD
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
12.0
1.14936
3.9020
0.01296
5.06432
42.20%
H. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A)
(B)
(C)
(D)=(B+C) (E)=(A-D)
Design
Obligated,
Pump
Average Daily
Approx.
Not Yet
Total Current
Station
Firm Flow**
Current Avg.
Tributary
Flow Plus
(Name or
Capacity, * (Firm 1 po,
Daily Flow,
Daily Flow,
Obligated Available
Number)
MGD MGD
MGD
MGD
Flow Capacity***
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the Iargest 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):
Downstream Permit Number:
Page 1 of 6
r-T9 ri 1" n A 1 r

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FIGURE
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PIN 9633-96-8069-00
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PIN 9633-95-0679-00
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GRAPHIC SCALE 1 INCH =1000 FEET
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PIN 9633-75-6455-00
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McGill
A S S O C 1 A T E S
September 24, 2018
Danny Smith, Supervisor
Raleigh Regional Office
North Carolina Department of Environmental Quality
Division of Water Resources
3800 Barrett Drive
Raleigh, NC 27609
Dear Mr. Smith:
NC Dept of Environmental Qua] it)
Raleigh Regional Office
RE: Fast Track Sewer Application
Botany Woods Area Sewer Extension
City of Sanford, North Carolina
Please find enclosed for your review one (1) original and one (I) copy of a Fast Track Sewer
System Extension Application package for the above referenced project. Please also find a check in
the amount of $480 to cover the application fee.
The overall project includes the installation of approximately 5,300 linear feet of 8-inch
gravity sewer line with 28 manholes and related appurtenances along the shoulders of Pine Knoll
Drive, Botany Woods Drive, Shannon Drive, and Windmill Drive (all owned and maintained by the
City of Sanford), and Wilkins Drive (SR-1328), a State maintained road. Also included is the
installation of gravity sewer on several private parcels to connect to the City's existing 30-inch
interceptor along Big Buffalo creek. Two (2) bulletin drawings have been attached to show the
proposed aerial gravity sewer crossing over Big Buffalo Creek. As a result of this crossing, the
project will be covered under Nationwide Permit 12 non -notification for 404 and 401. All
applicable permit conditions are included in the plans.
A portion of the 8" gravity sewer is within 50 feet of an identified wetland area and will be
constructed in accordance with the Division's "Draft Alternative Design Criteria for Minimum
Separation for Sewer Systems to Wetlands." The affected areas will also be noted on the project
record drawings.
5 Regional Circle, Suite A 1,,. 910.295,3159
Pinchurst, North Carolina 28374 1 910.295,3647 mcgiilengincers , „

Mr. Danny Smith
September 24, 2018
Page 2 of 2
If you have any questions during your review or require further information regarding this
project, please do not hesitate to give me a call at 910-295-3159.
Sincerely,
McGILL ASSOCIATES, P.A.
Michael S. Apke, P.E.
Principal
Enclosures
cc: Paul Weeks, P.E., City Engineer, City of Sanford
18.04019:' DS. FTA.20180924.doc