WQ0040667_Application (FTSE)_20190117

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
I5A NCAC 02T.0300— FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16& SUPPORTING DOCUMENTATION
Application Number. k 1 ' j UL` ULO� (tobecompietedby DWR)
All item
must-bemust-be comdeted or the apolication will be returned
I. APPLICANT INFORMATION:
L
Applicant's name: Town of Halle Springs(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 NCA C 0?1 .01 u6fb f
Title: Director_ ofEngineerine
4.
Applicant's mailing address: 128 South Main Street
City: Halle Springs State: NC Zip: 27540-
5.
Applicant's contact information:
Phone number. (919) �L7-1216 Email Address: ken dramarrishOhollysgrin asnc.us
cad S0.c'o• .et-n;3 C%hblLyer;eLgSnc. us
II. PROJECT INFORMATION:
1.
Project name: Peterson Station at Sunset Lake
2.
Application,Troject status: ❑■ Proposed (New Permit) ❑ Existing Permit.'Project
If a modification, provide the existin errnit number. W
g p Q00 and issued date:
d
If new construction but part of master plan, provide the existing permit number: WQ00
i;
0
3.
County where project is located: Wake
C
E
N
o
4.
35.680636., 78.80785:,
Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
P
5.
Parcel ID (if applicable): 0750721531
ti
(or Parcel ID to closest downstream sewer)
O
--,
III. CONSULTANT INFORMATION:
p,
U
- 1.
Thomas Spaulding 019375
Professional Engineer: License Number:
Fig Spaulding & Norris, PA
Mailing address: 972 Trinity Rd
City: Raleigh State: NC Zip: 27607
Phone number. S( L9) 854- 7990 Emil Address: tom@spauidingnorris com
IV. WASTEIVATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Utley Creek WastewaterTreatment Plan Permit Number: NC0063096
Owner Name: Town of Holly Springs
V. RECEIVING DOWNSTREAM SEWER INFORMATION (irdiFferent than WWTF):
I. Permit Number(s): WQQ6Tt Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS Od14x.
Owner Name(s): Ia
FORM: FTA 04-16 Page 1 of 5

Vl. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No RNA
2. If the Applicant is a Developer of lots to be sold, has a Developer's erati n Agreement(FORM: DED been attached?
❑ Yes ❑ No ON' A
3. If the Applicant is a Home. Proert Owners' Association, has an Operational Agreement (FORM: HOA1 been attached?
❑ Yes El No RNIA
4. Origin of wastewater. (check all that apply):
❑O Residential Owned ❑■ Retail (stores, centers, malls) ❑ Car Wash
❑■ Residential Leased ❑ Retail with food prep aration,'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 °.0 Commercial
Industrial I5A tiC1 3 20
1Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under I5A NCAC 02T 0114(f)? 14Yes *No
> If yes, provide a coM of flow reduction a r val letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0I I4(A
Daily Design Flow n,b
No. of Units
Flow
Residential Sewer
255 gaV Day
310
79,050 GPD
Commercial Sewer
0.12 gaV Sq.Ft.
40,050
4,806 GPD
gaV
GPD
gaV
GPD
gaV
GPD
gaV
GPD
Total
83,856 GPD
a See 15A NCAC, 02T X[14Ib), (d). (�X1) and fel[21 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 useareas;
and residential property located south oreastofthe Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S.
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table [5A NCAC 42T_D] 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other meas ured data.
8. Wastewater generated by project: """m GPD (per I5A NCAC . fl�2' ,0JOl 14]
> 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 & MD(Gravity Serve
1. Summarize gravity sewer to be permitted:
Size(inches) Length (feet) Material
8 2,595 PVC
> Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
> Section III contains information related tominimum slopes forgravity sewer(s)
> Oversizing lines to meet minimum slope requirement is not alloyed and a violation of the MDC
Vill. PUMP STATION DESIGN CRITERIA (If Applicable) —_02T .Q305 & MDC (Pump Stallions/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 ofthe pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDM
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)(11:
❑ Standby power sourceorpump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(IXB)_
Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons perday
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(hxl)(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 powersourceor 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 thecase of multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

1X. SUBACI<S & SEPARATIOrNS—(02I3.0200 & 15A NCAC 02T.0305(t)):
I. Does the project comply with all separations found in 15A NCAC 02T j),305(1) t& (a) 0 Yes ❑ No
Y 15A NCAC 02f.0305(l) contains minimum scmmatinns that shnII he nnit.HPd fnr cf-wer rv,:tenw-
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Waternains vertical -water over sevver including in benched trenches)
IS inches
Waternmins (horizontal)
10 feet
Reclaimed water lines (vertical-ruclained 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 ofClass I or
Class 11 impounded reservoirs usedasasource ofdrinking water
100 feet
**Waters classified WS (c,%rcpt WS-1 or WS-V), i3, SA, ORW, HQW, orSl3 from normal
high water (or tide elevation) and wetlands (see item IX.2)
50 feel
**Any otherstream, Luke, impoundment, or ground water lowering and surface drainage
ditches
10 feel
Any building foundation
5 feet
An • basement
10 feet
'fa slo cof embankment or cuts of 2 feet or man; vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Anyswimming pools
10 feet
Final earth grade (vertical)
36 inches
15A NC61C 021-.030560 contains alternatives where separations in 02 U.0105(t)cannot be achieved.
Y **Stream class i ficat ions can be identified using the Division's NC Surlitce Wrt•rCa'" ri ag
-
Ifnoncompliancc with 0.fl'.0305(fl or (9L see Section X ofthis application
2. Does the project comply with separation requirements fnr wetlands? (50 feet of separation) ❑t Yes ❑ No
Sec the Division's di -all separation requirements I'or situations %'here separation cannot be meet
}- No vorianee is required if thealtcrnative design criteria specified is utilized in design and construction
As built documents should reference the location oforcas effected
3. Does the project comply withal] setbacks found in theriver basin rules per 15A NCAC 0211 .02 '? ® Yes ❑ No
This would include Trout Buffered Streams per 15A NCAC 211.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? Eyes ❑ No
i Wctland-related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
"r lnfornation can be obtained from the 401 & Buller Permitting _11mach
5. Does project comply pith 15A NCAC 021•.0105(cW (additional permits/certifications)? 0 Yes ❑ No
Per 15A NCAC 02T,0105(c 61, directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. issuanceofthis permit is contingenton issuance of dependent permits (crosion and
sedimentation control plans, stormwater management plans, etc.).
6. (tries this project include any sewer collection lines that arc SlNenled •'high-prioriq?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "an), aerial sewer, sewer conlacting surfacc waters, siphon, or scwer
positioned parallel to streambanks that is subject to erosion that undermines ordeteriorates the sewer.
❑ Yes O No
r ll'yes, include an attachment with details I'or each line. including t) pe (acriul line. sim. material, and location).
High priority lines shall he inspected by tine pernittee or its representathe at leastonce every six -months and inspections
documented per I SA NCAC 02T.0403(a)(5) or the pernlitce's individual Sys leni-Wide- Collection permit.
FORNI : FfA 04- 16 Paue 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC, 02TT, the Mininnim Design Criteria for the Perrnittinc.of Purrm Stations
r1 _Fome hq in, est ti err
Jon
A, and the (Jr,,._ii.w %vr_NI irlJPURm Des ign C 6Nria (IPIcst Yurs ianI as applicable?
❑■ Yes ❑ No
If No, complete and submit the Variance, Alternative Design Request application (VADC 10-14) and supporting documents for
review. r val f the re ue t is required VEiort ubmittal of the Fast Track AmAication and sunnorting documents.
2. Professional Engineer's Certification:
I, Thomas Spaulding _ _attest that this application for
(Professional Engineer's name from Application Item II1.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 forthe 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 Aper 15A NCAC 02T .0106(b):
that this application for
(Signature Authority's name & title from Application Item I.3.)
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 systernto surface waters orthe land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/orcriminal prosecution. I will make no claim against the Division of Water Resources should acondition
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 infomnation 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 143-215.613 any person who knowingly crakes 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.
Signature:
Date:
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
pm.�..rxa� Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Town Of Holly Springs
Project Name for which flow is being requested: Peterson Station at Sunset Lake
More than one FTSE may be required for a single project if the owner of the IVWTP is not responsible for all pump
stations along the roule of the proposed waste►vaterJlow.
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, e4
t.1513
0.0839
2.11.11
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:
(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 Pius
(Name or Capacity, * (Firm 1 pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
0,f52- — o •la's 0,012. 0. 20-7 0, 2-1 1
* 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 (pi) 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): M;014(le Creek 6Um
Downstream Permit Number: k& Q01 /20
Page I of 6
FTSE 04-16

III. Certification Statement:
II Offa =Kwuelcertify to the best of my knowledge that the addition of
the volume of waste -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.
Signing
Page 2 of 6
FTSE 04-16

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0 1 0.5 0 2016
MILES
1000 0 1000 2000 3000 4000 5000 6000 7000 mw 9000 10000
a) FEET
Y
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y PREPARED FOR: SEAL:
a PETEMN STATION AT SUNSET I.MM THE PETERSON CENTER, LLC ti���rrrrrr!rr,,i
HOLLY SPRINGS, WAKE COUNTY, NORTH CAROLINA PO BOX 5608 C. ARo�'L��,
CARY, NC 27512--5608 /
m SEWER PERMIT DATE : 9/11/2018 ?QQ-� IN.
USGS QUAD APEX' S&N FIRM CERT. #: C-1875 S
L] -
o PROJECT ENGINEER:
a SPAULDING & THOMAS J. SPAULDING
S 4& NOBS, PA • N `
PROJECT CAOD DESIGNER:
Design Consultants WF �'•, S ,��
972 Trinity Road
Raleigh, North Carolina 27607 PROJECT SURVEYOR:
Phone [phone] Fax [phone] ROBINSON do PLAPITE—11-2018

ercT
State of North Carolina
Department of Environment,
Health and Natural Resources
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. Sudan, 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. Sudn:
'�WiaJ&T.RXA
00
C)EHNR
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 .02190)(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. NC0053096). 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 continents regarding this matter, please contact Mr. Michael D. Allen
at [phone] ext. 547.
Since y,
/,--
A. Preston Howard, Jr., P.E.
cc: Raleigh Regionai Office, Water Quality Section
State Engineering Review Group
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal opportunity Affirmative Action Employer 60% recycled/ 10% post -consumer paper

Peterson Station at Sunset Lake
Project Narrative:
The proposed Peterson Station at Sunset Lake project is located at the intersection of
Stephenson Rd and Sunset Lake Rd in the Town of Holly Springs, North Carolina.
Peterson Station at Sunset Lake development includes 3I0 residential units and 40,050 sf
of commercial space. The development will be served by 2,595 LF of 8" sanitary sewer
that will be connected to the sewer located in the adjacent subdivision. The proposed
sewer will public mains with a proposed flow of 83,856 GPD. See enclosed Utility Plan
approved by the Town of Holly Springs.
Project Schedule:
The construction of Peterson Station at Sunset Lake will begin by March of 2019. The
construction of the residential and commercial development is estimated to be complete
by August 2020.
NC Dept of Environmental Qualitv
JAN 1 i 20,9
Raleigh Regional Office

THE TOW N O F
December 10, 2018
Director, Division of Water Resources
Raleigh Regional Office
Water Quality Operation Section
1628 Mail Service Center
Raleigh, NC 27699-1628
��ef'prings
Re: Application for Sewer Extension Permit
Project: Peterson Station at Sunset Lake
Dear Sir or Madam:
NC beet of Environmental Quality
JAN 17 2019
Raleigh Regional Office
Please find enclosed the following items in application for a sewer extension permit to the Town
of I Iolly Springs existing sewer distribution system:
0 One original and one copy cover letter including a project narrative
o A check in the amount of $480.00
0 One original and one copy of the State of North Carolina Fast Ti•ack Sewer System
Extension Application (FTA 04-16)
0 Two copies of FTSE 04-16 FIow Tracking/Acceptance Form
0 Two color copies of a 8.5-inch by 1 l -inch portion of a 7.5 minute USGS Topographic
Map showing project area
0 Two copies of a street level map showing all relevant project areas
0 One copy of the locally -required Design and Application Certification
Feel free to contact me at 919-557-3938 should you have any questions or need additional
information in order to process this application.
Sin erely,
4.
endra D. P ish, P.E., CFM
Director of Engineering
KP/se
cc: Project Consultant Engineer, Tom Spaulding, PE, Spaulding & Norris
Administrative Manager (for addition to sewer permit log)
Rodney Campbell, Development Administrator
Project file/Correspondence ##41685
3002
04 17.2018
Engineering Deperbnent
P.O. Box 8 - 128 S. Main Street - Holly Springs, NC 27540 - www.hollyspringsnc.us

DO NOT SUBMIT SEWER EXTENSION APPLICATIONS UNTIL
CONSTRUCTION DRAWINGS HAVE BEEN APPROVED BY STAFF!
Sewer Design and Application Certification
Note: This form must be submitted with the Fast -Tract Application for Gravity Sewers, Pump
Stations, and Force Mains for extension to the Town of Holly Springs Sewer System
Project: Peterson Station at Sunset Lake `
Design Engineer: Spaulding & Norris, PA
Address: 972 Trinity Rd, Raleigh, NC 27607
Phone Number: 919-854-7990 Email: [e-mail]
Date Complete Application Package Received by Town: Oaf lam 042 01 r
Date Approved: ��t l��ig (by RLC) (by KDP)
As design engineer for this project,l certify the following (please check (r) each applicable box):
0 That the design of the project is in complete conformance with Town of Holly Springs
Engineering Design and Construction Standards and NCDENR Sanitary Sewer Design
Regulations;
0 That each of the following items are completed and enclosed for submittal to the State for
a sewer extension permit:
N
0 One original and one copy cover letter including a project narrative
o A check in the amount of $480.00 to DENR
o A check in the amount of $200.00 Town processing fee
0 One original and one copy of the State of North Carolina Fast Track
Application for Gravity Sewers, Pump Stations, and Farce Mains
0 Two copies of FTSE 08-13 Flow Tracking/Acceptance Form
0 Two color copies of a 8.5-inch by l 1-inch portion of a 7.5 minute USGS
Topographic Map showing project area
0 Two copies of a street level m_ wing all relevant project areas
0 One copy of the Iocally-re tr D sign and Application Certification
Design Engineer's Signature
A
z
In addition, once your construction drawings are approved and this application is complete, you
will receive a copy of the Town's letter of transmittal to the State as your confirmation that the
application is complete and has been forwarded to the State for permitting. Please contact Sara
Emig at [phone] if you do not receive this confirmation or if you have any questions.
Engineering Department - P.O. Bu t< 8, Holly Springs, NC 27540
919-557-3938 - 919-552-9881 (far)
E2
2003 Sewer Design Application Certification
04.1 1.2018