WQ0040545_Application (FTSE)_20181120

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: (to be completed by DWR)
All items must be completed or the aimlication will be returned
1. APPLICANT INFORMATION:
I. Applicant's name: Franklin County Public Utilities (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: Chris Doherty per I SA NCAC 02T ,010§(h]
Title: Director
4. Applicant's mailing address: 1630 US HWY I
City: YOUNGSVILLE State: NC Zip: 27596-
5. Applicant's contact information:
�
Phone number:9(� 556-6177 Email Address: [e-mail]
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I1. PROJECT INFORMATION:
NCa
I. Project name: Woodlief Subdivision
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2. Appl icat ion! Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
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If 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
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3. County where project is located: FRANKLIN
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4. Approximate Coordinates (Decimal Degrees): Latitude: 36.072186' Longitude: -78.500182`
5. Parcel ID (if applicable): 1844-65-6054
(or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
I. Professional Engineer: Tom Spaulding, PE License Number: 19375
Firm: Spaulding and Norris, PA
Mailing address: 972 Trinity Road
City: Raleigh State: NC Zip: 27607 -
Phone number: 919 854-7990 Email Address: tom s auldin norris.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: FRANKLIN Co W WTP Permit Number: NCO069311
Owner Name: FRANKLIN CO PUBLIC UTILITIES
V. RECEIVING DOWNSTREAM SEWER INFORMATION ordifYerent than WWTF):
I. Permit Number(s): WQ1-p3qo Downstream (Receiving) Sewer Size: 8 inch
System WideColiection System Permit dumber sj ffAp_p ble : WQCSJO 1<ri9
Owner Name(s): FRANKLIN CO PUBLIC UTILITIES I
FORM: FTA 04-16 Page 1 of

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 Operational Agreement (FORM: DEV] been attached?
❑ Yes ❑No ❑N.'A
3. if the Applicant is a Home::Property Owners' Association, has an Operational Agreement (FORM: H- A) been attached?
❑ Yes ❑No []N'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
❑
School.," preschool 1 day care ❑ Medical! dental veterinary facilities ❑ Swimming Pool ::Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool. -Filter Backwash
❑ Businesses offices f factories ❑ Nursing Home ❑ Other (E=xplain in Attachment)
5. Nature of wastewater: 100 % Domestic Commercial % Commercial
% Industrial (See_l5A NCAC_ 02T .0103t20))
1PIs there a Pretreatment Program in effect? ❑ Yes ❑ No
5. Has a flow reduction been approved under 15A NCA( 02T .011.,"? ® 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) I Daily Design Flow','
0 gall
gall
gall
gall
gall
gall
No. of Units
Flow
GPD
GPD
GPD
GPD
GPD
GPD
Tota!
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. 42A4).
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 GAD (per 15A NCAC 02T .01 14)
Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
0 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

VI1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MDC (Gravity Sewersl:
1. Summarize gravity sever to be permitted:
Size (inches)
Length (feet)
Material
8
193
PVC
3i- Section 11 &Ill of the MDC for Permitting of Gravity Severs 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 (Pumy Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. 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 15x1 NCAC 02T.0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T ,0305(h)(1)(B);
r 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)):
I. Does the project comply with all separations found in 15A NCAC 02T .0305 t &
D 15A NCAC 02T.0305(0 contains minimum separations that shall be provided for sewer systems:
® 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 l 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
hiph 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 rade vertical
36 inches
A, 15A NCAC 02T.0305(a) contains alternatives where separations in 02T.0305(f) cannot be achieved.
**Stream classifications can be identified usine the Division's NC Surface Water Classifications webnave
If noncompliance with 02T.0305(n 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
"r See the Division's draft separation requirements for situations where separation cannot be meet
i No variance is required if the alternative design criteria specified is utilized in design and construction
"r 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 25.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
t.
Information can be obtained from the 401 & Buffer Pirmitting-Branch
5. Does project comply with 15A NCAC 02T.0105(c)(61(additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02TT0105(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 ISA 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 02L the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version l as applicable?
® Yes ❑ No
If No, complete and submit the Variance?Alternative Design Request application (VADC 10-14) and supporting documents for
review. Annroval of the request is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
attest that this application for
(Professional Engineer's name from Application Item 111. 1.)
11JOODUe VBDtVISIot%k
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 143-215.6B, 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.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
that this application for
(Signature Authority's name & title from Application Item 1.3.)
WOODLIi~F S0SDI v[S[ok
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. 1 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 $10,00P -S§ veR,s civil penalties up to $25,000 per violation.
Oate.A 1 �I E
FORM: FTA 04-16 Page 5 of 5

SCV,e,-- "" S - PAUL & NORRIS, PA
__"L7V Planning - Civil Engineering NCD ep t Of Environmental Quality
Nov 2 0 2018
TRANSMITTAL
To: Jason Robinson
Raleigh Regional Office —
Water Quality Section
3800 Barrett Drive
Raleigh, NC 276og
Sending:
® Attached
❑ Shop Drawings
❑ Copy of Letter
❑ Total Quantity
Date: 11/19/2018
]e1gh Regional Office
Attention: Jason Robinson
Job Number: 864-17
Re: Woodlief Subdivision - Off-site
Sanitary Sewer Extension
Franklin County, NC
Fast -Track Application
❑ Under Separate Cover via:
❑ Prints ❑ PIans ❑ Other:
❑ Change Order ❑ Samples
❑ Reproducible ❑ Specification
Copies
Date
Description
2
11-19-2018
Cover Letter
2
11-13-2oi8
FTA04-i6 Fast -Track Application
1
11-14-2018
S48o Application Fee
2
11-13-2018
FTSE o4 -i6 Flow Tracking/Acceptance Form
2
11-13-2018
8.5 x 11 USGS Map
2
11-13-2018
Street Level Map
Transmitted for:
® Your use
❑ As Requested
❑ Review and Comment
Comments:
Jason,
❑ Approved as Submitted
❑ Approved as Noted
❑ Returned for Corrections
❑ Copies for Approval
❑ Distribution Copies
❑ Corrected Prints
Please see enclosed Fast -Track submittal package for the subject project for your review and
approval. Please do not hesitate to contact our office should you have any questions or need any
additional information.
Thank you -
Copy to:
Justi ohde,
Phone: [phone] • Fax: (919) 55-t-7925 • 972 Trinity Road • Raleigh. North Carolina 27607

S4ykr,
N
November 19, 2018
SPAULDING & NORRIS4 PA
Planning - Civil Engineering
Raleigh Regional Office — Water Quality Section
Jason Robinson
3800 Barrett Drive
Raleigh, NC 27609
RE: Woodlief Subdivision Off-site Sewer Extension
Franklin County, NC
Fast -Track Application
Dear Mr. Robinson,
NC Dept of Environmental Quallty
NOV 2 0 2018
Raleigh Regional Office
Please see enclosed two (2) sets of Fast -Track Applications (FTA 04-16) and an accompanying review
fee check of $480.00 for the subject project for your review and approval.
The proposed Woodlief Subdivision is located south of the intersection of Long View Dr. and Long
Mill Rd. in Franklin County, NC. We are seeking a permit to install one (1) manhole and an off-site
sanitary sewer line with no flow request.
The proposed off-site sanitary sewer extension consists of 193 LF of 8" PVC extending off of an
existing sanitary sewer manhole located within the future Alexandria Court cul-de-sac off of Ashberry
Lane. The proposed sanitary sewer main will be public. The construction of this sanitary sewer
extension is projected to begin in January 2019.
If you have any questions or need any additional information, please contact me at [phone].
Sincerely,
7z ---
Justin Rohde, PE
Spaulding & Norris, PA
Phone: [phone] • Fax: [phone] o 972 Trinity Road • RialeiJt, North Carolina 27607

NC Dept of F,nvironmental Quality
NOV 2 0 2018 State of North Carolina
DW
RMeigh
Department of Environmental Quality Regional Office Division of Water Resources
Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE~ 04-16)
Entity Requesting Allocation: Franklin Co Public Utilities
Project Name for which flow is being requested:
Woodlief Subdivision
More than one FTSE may be required for a single project if the owner of the fl 11 7P 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: Franklin Co WWTP
(D)=(B+C)
b.
WWTP Facility Permit #: _ Nc opc, x
Average Daily
Station
Firm Flow'
All flows are in MGD
c.
WWTP facility's permitted flow
3-C-'C'o
d.
Estimated obligated flow not yet tributary to the WWTP
t . 2 5 I
e.
WWTP facility's actual avg. flow
D , $ 13
f.
Total flow for this specific request
0.0
g.
Total actual and obligated flows to the facility
7
h.
Percent of permitted flow used
Z b . ae
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:
NIA-
(B)
(A)
(D)=(B+C)
Design
Pump
Average Daily
Station
Firm Flow'
(Name or
Capacity, * (Firm i pt),
Number)
MGD MGD
NIA-
(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 a 0.
Downstream Facility Name (Sewer): FRANKLIN COUNTY
WWTP Downstream Permit Number: NC o .(o9'5_i f
Page I of 6
FTSE 04-16

Ill. Certification Statement:
I Chris Doherty - Director certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the flow from this project is not anticipated to
cause any capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving treatment plant under normal circumstances, given the implementation
of the planned improvements identified in the planning assessment where applicable. This
analysis has been performed in accordance with local established policies and procedures using
the best available data. This certification applies to those items listed above in Sections I and 11
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicatep-v-zr,-ptance of this wastewater flow.
Date
Page 2 of 6
FTSE 04-16

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Deck, Erin M
From: Chris Doherty <[e-mail]>
Sent: Wednesday, January 2, 2019 3:30 PM
To: Tom Spaulding; 'Justin'; Deck, Erin M
Subject: Re: [External] RE: Woodlief subdivision
CAUTION. External email. bo not c114 bit or opt atiachm'e .mess you; verified. Send.all-su§piciqus email as an attachment to
.Lull ct.spa m an �,g
Erin, I am in agreement. Thanks
Chris
Get Outlook for Android
From: Deck, Erin M <[e-mail]>
Sent: Wednesday, January 2, 2019 2:35:15 PM
To: Tom Spaulding; Chris Doherty; 'Justin'
Subject: RE: [External] RE: Woodlief subdivision
Thank you for the information. With Mr. Doherty's permission, I will make the correction and move forward with the
permit.
Erin Deck
Department of Environmental Quality
Division of Water Resources
Raleigh Regional Office
Office: 919-791-4258
KI.-C.
Nothing Compares
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.
From: Tom Spaulding[mailto:[e-mail]]
Sent: Wednesday, January 2, 2019 2:29 PM
To: Deck, Erin M <[e-mail]>; [e-mail]; 'Justin' <[e-mail]>
Subject: [External] RE: Woodlief subdivision
CAUTION: External email. Do not click links or open attachments 'u"n'le"ss-you verified. Send all suspicious email as an attachment to
Irecorttsoam r�c.aav

Erin, The first box should be checked (gravity sewer where flow will be permitted in subsequent permits that connect to
this line).
Thank you
Tom
Tom Spaulding, PE, CFM
Principal Engineer
S&SP; ULDIN(; & �NORRIS, PA
IV.` .l �._ • l I. E 1:;: [}CY: ;lr •lr-. I.Y
972 Trinity Rd
Raleigh, NC 27607
Phone: [phone]
Fax: [phone]
From: Deck, Erin M <[e-mail]>
Sent: Thursday, December 27, 201812:33 PM
To: [e-mail]; [e-mail]
Subject: Woodlief subdivision
We are reviewing the referenced application.
Section Vt. 8 states that there is 0 GPD generated by this project, however there is no indication as to why. Please
review this section and let us know which box needs to be checked and with permission from the applicant, we can
make the change. Thank you.
Erin Deck
Department of Environmental Quality
Division of Water Resources
Raleigh Regional Office
Office: 919-791-4258
--�'-'Nothing Compares
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.