WQ0040623_Application (FTSE)_20190206

DAMS .• MARTIN • POWELL d ENGINEERS & SURVEYORS MP
January 24, 2019
Re: Town of Granite Falls, NC
NCDOT Project R-5775
Improvements to Intersection at US 321 (Hickory
Blvd.) and SR 1109 (Pinewood Road Ext.)
DMP Project 160442 (BF)
NCDEQ - Division of Water Resources
Asheville Regional Office
Water Quality Section
2090 US Highway 70
Swannanoa, NC 28778
To whom it may concern:
Davis -Martin -Powell is providing utility engineering services for NCDOT Project R-5775, which involves improvements for
the Intersection at US 321 (Hickory Blvd.) and SR 1109 (Pinewood Road Ext.) in Granite Falls.
The Town of Granite Falls has a section of an existing gravity sewer line that must he relocated due to conflicts with the
proposed roadway and storm drainage improvements. The project will involve the relocation of 211 LF of 8" gravity
sewer and associated appurtenances. There will he no changes to the flow conditions for the existing sewer main.
We are enclosing the following information in regards to the referenced project for your review and approval:
• Two (2) copies of the executed Fast -Track Application for Gravity Sewers, Pump Stations & Force Mains
• Two (2) copies of the 8.5"x11" color USGS quad map exhibit
• Two (2) copies of an 8.5"x11" street level map showing the project location
• Check # 063102 in the amount of $480.00 for the review fee
We trust this information is complete and will allow you to proceed with your review of this needed sewer system
improvement. If you have any questions, please do not hesitate to contact our office.
Sincerely,
DAVIS • MARTIN • POWELL & ASSOCIATES, INC
Steve McKee,, PE PE
cc: Randy Smith— Town of Granite Falls(enc)
File lent)
P:110161180021PnmihiSew 6160442-DMTenemttlel Townof02nik Felb 181024.dwx
T: 919-272-7157•F: 336-886-4458 • License: F-0245
6415 Old Plank Road, High Point, NC 27265 • www.dmp-inc.com

State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T.0300 - FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
2".1-1ce. INSTRUCTIONS FOR FORM: FTA 04-
16 &SUPPORTING DOCUMENTATION
This application is fa sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a profess' nal engineer and the applicant that the project meets the requirements of 15A. NCAC W and the Division's
Minimum Design Cri ria and that plans, specifications and supporting documents have been prepared in accordance with, ISA
NCAC 02T, 15A NC C 02T.030Q Division policies antl good ene'nee inspractices,
While no upfront an veering design documents we required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be p spared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and pro ct specifications referenced in ISA NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall he av liable upon request by the Division.
Projects that are deemtd permitted (do not require a permit from the Division) are explained in 15A NCAC 02T 0303.
Projects not eligibleJ
r review via the fast track process (must be submitted for full technical review):
• Projects thequire an environmental assessment in be
with 15A NCAC IC .0100;
➢ Projects tho not meet any part of
minimum design criteria MD document;
➢ Projects thvolveavariance from the requirementsof15A NCAC 2T;➢ Pressuresersystemsutilizingseptictank-cfuuent pumps (STEPS)orsimplexgrinder pumps;
➢ STEPorsiexgrinder pumps connectingtopressurized systems(cgforcemains);➢ Vacuum sesystems.
General - When su fitting an application, please use the following instructions as a checklist in order to ensure all required
items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time
and reduce the amo t of requested additional information, Failure to submit all required items will necessitate' additional
processing and revi w time, and may result in return of the application. Unless otherwise noted, the Applicant $hall submit
one original and one py of the application and supporting documentation, -
A. One Original a d One Copy of Application and Supporting Documents _
® Required u eess otherwise noted j A H 2 8 2019
B. Cover Letter unless
for All Application Packages): tt
® List all item included in the application package, as well as a brief description of th mqa' steel permitting action. - f
➢ Be specific to the system type, number of homes served, flow allocation xequhed, etc. _
• If necessary or clarity, include attachments to the application form.
C. Application Fe (All New and Major Modification Application Packages):
® Submit a ch tok or money order in the amount of $480.00 dated within 90 days of application submittal.
➢ Payable to crib Carolina Department of Environmental Quality (NCDEQ)
D. Fast IT
to
m: FTA 04-16) Application (Required for All Application Packages).
®. Submit the ompleted and appropriately executed upplica[ion.
➢ If necessary or clarity or due to space restrictions, attachments to the application may be made.
❑ If the Ap ill ant Type in Item 1.2 is a corporation or company, provide documentation it is registered for business with
❑ If the Appli ant Type in Item 1.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of
Deedsinth county ofbushines.
® The Project Pame in Item II. I shall be consistent with the project name on the flow acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North
Carolina pied Professional En ineer.
® The Applic is Certification on Page 5 of the application shall be signed in accordance with ISA NCAC 02T 0106(b).
Per 15A N AC 02T ,0106(c), an alternate person may be designated as the signing official if a delegation letter is
provided fr a person who meets the criteria in 15A NCAC 02T .0106(b).
FORM: FTA 04-16 &SUPPORTING DOCUMENTATION Page 1 of 3

THE COMPLETED APPLICATION PACKAGE INCLDWG ALL SUPPORTING INFORMATION AND
ERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Re ldnal ffice
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water ualit Sect! n
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Palk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fa etteville Re ion I Office
225Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
water Qualit Sect! n
Fayetteville, North Carolina 283015094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Re Ion I Office
610.E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quafit Sect! n
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan;
[phone]
Stanly, Union
[phone] Fax
Ralei h Re lonal O ce
1628 Mall Service Center
Chatham, Durham, Etlgecombe, Franklin,
Water Qualit Sect! n
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson -
Re to al Office
943 Washington Square Mall
Beaufort, Berlie, Camden, Chowan, Craven,
it Secti n
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pift,Tyrrell, Washington, Wayne
Re !en I Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
t Secti n
Wilmington, North Carolina 28405
Hanover, Onslow, Pander
qWi,,ton-SatemRe
[phone]
[phone] Fax
em Re !onal Office
450 W. Hanes MITI Road
Alamance, Allegheny, Ash r, Caswell,Davldson,
Seed n
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27108
Stokes, Burry, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS F?R FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page.3 of 3

State of North Carolina
Department of Environmental Quality
�A Division of Water Resources
15A NCAC 02T.0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources ETA 04.16 & SUPPORTING DOCUMENTATION
Application Number: (m be completed by DWR)
All Items must be completed or the application will be returned
1. APPLICANT I
I.Applicams
2. Armlicantt
3. Signature
Title: Pub
4. Applicant
City: Grai
5. Applicant
Phone nm
H. PROJECT to
1. Project na
2, APplicatic
3. Coutayw
4. Approxin
5. Parcel ID
Town of Granite Falls (company, municipality, HOA, utility. etc.)
❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
y's name: Randy Smith per 15A NCAC 02T 0106(b)
address: P.O. Drawer 10
State: NC Zip: 2863 -_
(828 32�-3iLI Email Address: smith(aleraitefallsnacom
Sewer Improvements as part ofNCDOT Project R-5775
'eject status: ® Proposed (New Permit) ❑ Existing Permit/Project
on, provide the existing permit number: W000_ and issued date:
ction but part of master plan, provide the existing permit number: W000_
project is located: Caldwell
7oordinates (Decimal Degrees): Latitude: 35.811391' Longitude:-81.432400°
to closest downstream sewer)
INFORMATION:
License Number: 016832
Firm: Davi -M in -Powell & Associates
Mailing ad ress: 6415 Old Plank Road
City: i h oim State: NC Zip: 27265-_
Phone num er: 919 272-7157 Email Address; m k Gild -i
IV. WASTEWATI R TREATMENT FACILITY(WWTF) INFORMATION:
1. Facility Na no: Granite Falls W WTP Permit Number: NCO021890
V. R.
1.
VFREAM SEWER INFORMATION (if different than W WTF):
WQ_ Downstream (Receiving) Sewer Size: _ inch
cfon System Permit Numbers (if applicable); WQCS00145
.FORM; ETA 04.161 Page 1 of

VI.
1. If the Appli
t is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®N/A
2. If the Applh
ant is a Developer of lots to be sold, has a Developer's Onei atimud Agreement ( FORM � DEV) been attached?
❑Yes ❑No ®N/A
3. If the Applo
no is a Home/Property Owners' Association has an Ope'ational A91 cement FORM: I1OAl been attached?
❑ Yes [-]No ®N/A
4. Origin of w•
newsier: (check all that apply):
® Resident
al Owned El Retail (stores, centers, malls) ❑Car Wash
® Resident
al Leased ® Retail with food preparation/service ❑ Hotel and/or Motels
® School /
reschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
®Food an
drink facilities ®Church El Swimming Pool/Filter Backwash
®Business
s/offices/factories ❑Nursing Home ❑Other (Explain in Attachment)
5, Nature of stewater: 100 % Domestic/Commercial %Commercial
%Industrial (See 15A NCAC 02T 0103(20))
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow i auction been approved under 15A NCAC 02T .0114(f)7 ❑ Yes ® No
➢ If es rovide a copy of flow reduction aroval letter
7. Summarize vainewatergeninated by project:
Establishme
it Type (see 02T.0114(f))
Daily Design Flow "'a
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
0 GPD
a See.
dwel
area:
as it,
b Per
be d,
S. Wastewa
D Don
Ifpermitl
❑ Pump
❑ Flow
.011 h(b) all (ell i) and (e)(2j for caveats to wastewater design flow rates (i.e., minimum flow per
unknown non-residential development uses; public access facilities located near high public use
I property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall
lined using available flow ate, water using fixtures, occupancy or operation patterns, and other measured data,
enerated by project: 0 D (per 15A NCAC 02T .01 I4)
elude future flows or previously permitted allocations
ow is zero, indicate why:
ion or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
allocated in Permit Number:
replacement of existing sewer with no new flow expected ✓
FORM: PTA 04-16 1 Page 2 of 5

VIL GRAVITYIEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MDC (Gravity Sewers):
1. Summarize avity sewer to be permitted:
➢ Section
D Section
➢ Oversh
Vill. PUMP
1. Pump static
2. Approximai
3. Design flov
4. Operational
5. Summarize
Size (inches) Length (feet) Material
a 211 DI
I & Ili of the MDC for Permitting of Gravity Sewers contains information related to design criteria
11 contains information related to minimum slopes for gravity sewer(s)
ng lines to meet minimum slope requirement is not allowed and a violation ofthe MDC
PION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pamo Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION. INCLUDED IN THIS PROJECT
number or name:_
Coordinates (Decimal Degrees): Latitude: _,_° Longitude:
rfthe pump station: millions gallons per day (firm capacity)
oint(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
e force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power Yeliat ility in accordance with 15A NCAC 02T 0305(h)(I):
❑ Standb3 power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B):
➢ Require for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must In permanent to facility
Or if the put p station has an average daily flow less than 15,000 gallons per day:
❑ Portabl power source with manual activation, quick -connection receptacle and telemetry -15A NCAC 02T
or
❑ Portabl pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(I)(C):
➢ It shall a demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is c ripatible with the station.
➢ If the rmble power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage opacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be
provide in the case of a multiple station power outage.
FORM: FTA 04-16 1 Page 3 of 5

IX. SETBACI S & SEPARATIONS — (02B.0200 & 15A NCAC 02T.0305(o):
I. Does the p eject comply with all separations found in 15A NCAC 02T 0305(f) & (ul N Yes ❑ No
➢ ........ _..
Setback Parameter'"
Se aradlim Required
Storm sewi
is and other utilities not listed below vertical
24 inches
Water mar
3 vertical -water over sewer including in benched trenches
18 inches
Water mar
horizontal
10 feet
Reclaimed
vater lines vertical - reclaimed over sewer
18 inches
Reclaimed
vater lines horizontal - reclaimed over sewer
2 feet
**Any priv
Class It im
its or public water supply source, including any wells, WS-1 waters of Class I or
ounded reservoirs used as a source of drinking water
100 feet
**Waters c
hi h water
assified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
or tide elevation) and wetlands see item IX,2
50 feet
**Any oth
ditches
stream, lake, impoundment, or ground water lowering and surface drainage
10 feet
An buildi
foundation
5 feet
An basem
at
10 feet
To sloe
f embankment or cuts of feet or more vertical heightg
10 feet
Drain e s
stems and interce for drains
5 feet
An swim
in pools
10 feet
Final earth
rade vertical
36 inches
➢ 15A n AC 02T.0305 contains alternatives where separations in 02T 0305(t) cannot be achieved.
➢ **Sire in classifications can be identified usingthe Division's NC Surface Water Classifications wel
➢ If non ompliance with 02T.0305(f)or M. see. Section X of this mr,lientian
2. Does the p eject comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No N N/9.
➢ See th Division's draft separation requirements for situations where separation cannot be meet
➢ No va once is required if the alternative design criteripspeeiPed is utilized in design and construction
➢ As bud t documents should reference the location of areas effected
3. Does the pdojeer comply with setbacks found in the river basin rules per 15A NCAC 02B .02009 ❑ Yes ❑ No ® N/A
➢ This it include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the p eject require coverage/authorization under a 404 Nationwide or El Yes N No
individual ermits or 401 Water Quality Certifications?
D Infer tion can be obtained from the 401 & Buffer Permitting Branch
5. Does proje t comply with 15A NCAC 02T.0I 05(c)(6) (additional permits/certifications)? N Yes ❑ No
Per 15A N -AC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been appli A for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentat n control plans, stormwater management plans, etc.).
6. Does this p eject include any sewer collection lines that are deemed "high -priority?"
Per 15A N 'AC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned arallel to streambanks that Is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ❑ No N N/A/
➢ If yes, nclude an attachment with details for each line, including type (aerial line, size, material, and location).
High prio ity lines shall be Inspected by the permittee or Its representative at lenst once every six -months and
inspection documented per 15A NCAC 02T.0403(a)(5) or the permiter's individual System -Wide Collection permit.
FORM: FTA 04-16 1 Page 4 of 5

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his been rc ieteid by Ilia and is accur.uc. c... '.'IC end "mn"lint with ill, iil... a )il eupplictl m the plan... sp"ilmaiuue.
nEiuucl'i lL dvuluunns, and lit nlhcr supl..it gml ht bet of m) Inta)vl,ll, 11,11111a1 th-u lu the hrs
nl my Iam ;tidy.: Iha Vivl : t Inmgn has b ', pi,pmnd ... -Jnui, rvith the tglplicahl r g lhuuuv (;Imay Sower
ilinuuum ) gn Uitcriu till (irmm Severs (laded ,cr_moo). and the blmlmum D""ll) (riwnn k" the Iist-frill:
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maanll lol luxe, ludhid a Ii h, ¢alv6@nl tclth III, liopua,:I Aosqul.
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sdnk•Incnl. td anrtnuna nr ,cI'Uiicnuon In ml' xppllcauon pnckag, shall hq Aunty of i ('lu-,) Iuudcnnnngr, ..Inch may
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It'll k.ppliC uan am not uuaplotml iud that Ball raqunmi ,k.ppnripll duck ... wmation and atitclnil,Ill, arc not w,ludad. I'll
tppfi mini p I ka ds k.h,& l I. h,m, 'tmud'ls n t tgtl,l land 'rind 11,1.t' (-h 111e III I a 1,1ta' d'ml lhi' I I n-
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wld tliu II'.dl r,'m'd ,,I ing i,Itbnnazinu:Ind Nlx,hmmIl4 an: naI InoJudcd. Ihls upph,ou..n I,:,,kigc will ha r,k.iucd la
nx n: vam npl,la-
NO 11, - w.or bill a. with G, ccd 'won ,-'L rat IJ 1', ..°I� �dl uy' Dusal tvb. (t wial:ly nutk ally I109c
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IfW%1 1:1 A04-1(1 Puy, +o'x

LEGEND
EX. GRAVITY SEWER
PROPOSED GRAVITY
SEWER RELOCATION
SCALE 1:24000
ALOMETERS 1 2
iC90 54tl 0 METERS ,E44 Trim
0.5 9 GRANITE FALLS; NC MILES _..
14EQ 9 4444 1444 1940 4494 5449 6m 7WU goo 9m MOO2016
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