WQ0040686_Application (FTSE)_20190122

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15ANCAC 02T.0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FI'A 04-16 &SUPPORTING DOCUMENTATION
ffiApplication Number `o" $u_ (to6ccomplcicdby DWR)
All items must be completCd or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of HollySprings (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ Central Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: per 15A NCACO2T.0106(b)
Title: Director_ ofEneinecring
4. Applicant's mailing address: 128 Solith Main Street
City: Holly Springs State: NQ Zip: 2754t-
0 Privately -Owned Public Utility
❑ Other
NC Dept of Environmental Quality
JAN 7 2 2019
5. Applicant's contact information: lZalcigh Regional offiCe
Phone number. (919) 52- M Email Address: kends.nanishnhollysl2dnesnc.us a^d
II. PROJECT INFORMATION: SC CO,-41rn�ge hb11AJSf--;AJS1JC-- W
I. Project name: Trinity Creek - Phase 3C
2. Application/Project status: ❑X Proposed(New Permit) ❑ Existing Permit/Project
If a modification, provide the c)dsting permit number WQOO and issued date:
If new construction but part of master plan, provide thec:risting permit number. WQOO
3. County where project is located: Wake
4. Approximatc Coordinates (Decimal Degrees): latitude: 35'3909 84" N Longitude: - 78, 52*55 47"W
5. Parcel I D (if applicable): C639522147.0639522804
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engincer.Ryan C. Akers license Number 33828
Firm: McAdams Co.
Mailing address: 2905 Meridian Parkway
City: Durham State: NC Zip: Z7713
Phone number. (919) 361 MOO Email Address: akers[bmcadamsco,.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Utley Creek WastewaterTreatmcnt Plan Permit Number. NCO063096
Owner Name: Town of Holly Springs
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQOC3jd6y Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable). WQCSOOI9d,
Owner Namc(s): �()79 S
FORM: FTA 04-16 Page I of 5

V1. GENERAL. REQUIREMENTS
L If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No 0 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 Qx NIA
3. If the Applicant is a Home/
been attached?
❑ Yes ❑ No ❑x N/A
4. Origin of wastewater. (check all that apply):
x 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 /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 (Sge ISA NCAC 02T .010300))
4Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(tl? Q Yes ❑ No
If yes, gKovidea copy of flow r i n approval letter
7. Summarize wastewater generated byproject:
Fstablishment Type (see9jTL1I40
Daily Design Flow ..,
No. of Units
Flow
SINGLE FAMILY HOME
255 gaV UNIT
10
2550 GPD
gal/
GPD
gay
GPD
gal/
GPD
gal/
GPD
gall
GPD
Total
2550 GPD
a See 15A NCAC 02T .0114(bl- (d), (eX1) and (eQ 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 oreast of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in GS. 42 -4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114) shall be
determined using available flow data, water using fixtures, occupancyoroperation pattems,andother measured data.
8. Was tcwatcrgencratcd by project 2550 GPD (per )
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 & TDC(Grmit� Sg%wr):
I. Summarize gravity sewer to be permitted:
Size(inches) length (feet) Material
8 562 PVC
➢ Section 11 & III ofthe MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related tominimum slopes forgravity scwer(s)
➢ Oversizing lines to meet minimum slope requirement is not allovwd and a violation of the MDC
Vlll. PUMP STATION DESIGN CRITERIA (If Applicable) —S12T ,U305 & N10C Wumn SW ions Force Mains):
COMPLErE EUR 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 15A NNCAC ()2T .03p5(hX 13:
❑ Standbypower sourccorpump with automatic activation and telemetry - 15A NCAC 02T .0305(hxl)(B)_
➢ Required for all pump stations with an averagedaily 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(hx I)(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 theportable powersourccorpump is dedicated to multiple pump stations, an evaluation ofall the pump stations'storage
capacities and the rotation schedule of the portable power source or pump, including travel timcframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page of

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 15A NCAC ()2'I' ,t1105fil & ftr1
15A NCAC 02T.0305(f) contains minimum separations that shall be nrovided for sewer systems,
7() 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 orpublic 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 (sec item IX.2)
50 feet
**Any otherstream, 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
Anyswimrning eools
10 feet
Final earth grade (vertical)
36 inches
contains alternatives where separations in 023'.Q305(f} cannot be achieved.
■*Stream classifications can be identified using the Division's NC Surface W s w
If noncompliance with 021.0305(n or (el_ sec Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) 0 Ycs ❑ No
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
D As built documents should reference the location of areas effected
3. Does the project comply with all setbacks found in the river basin rules per ]SA NCAC 02B .0200? X❑ Yes ❑ No
D This would include Trout Buffered Streams per ISA NCAC 2B_0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? El Yes ❑ No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(fi) (additional permits/certifications)? X❑ Yes ❑ No
Per ISA NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuanecof this permit is contingenton issuanceof dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewcrcollection 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 subjeetto erosion that undermines or deteriorates the s w
—� No _1u t� �I4l I°1
➢ If yes, include an attachment with details for each line, including type (atrial line, size, material, and location).
High priority lines shall be inspected by the permittce or its representative at leastonce eery six -months and Inspections
documented per ISA NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM; FTA 04-16 Page of

X. CERTIFICATIONS:
I. Does the submitted system comply with tJ6_NCAC 02T, the ! Pctmnv,
and Furrz ipins IlaLes t version 1. and the {MXiLy_ SLM Minimum DoJ n Cdwria t lutcwt vursionj as applicable?
QYes ❑ No
If No,completc andsubmit the Variance/Alternative Design Request application (VADC I0-14) and supporting documents for
review. AUffoval gf the request is required prior to submittal of the Fast Track Application and sulMi-tint± documents.
2. Professional Engineers Certification:
_ Aims — attest that this application for
(Professional Engineer's name from Application Item Ili.l.)
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, Cavity 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 he consistent with the proposed design.
NOTE - In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly make
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor,
include a fine not to exceed $10.000, as well as civil penalties up to $25,000 per violation. _-61„—
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's rtifi'� W"l ion I5� 02T .0106(b):
I,
(Signature Authority's name & title from Application Item 1.3.)
any false
which may
attest that this application for
has been reviewed by me and is accurate and complete to the bestof 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 systemto surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/orcriminal prosecution. 1 will make no claim against the Division of Water Resources should acondition
of this permit be violated. I also understand that if all required pans of this application package are not completed and that if
all required supporting information and attachments arc not included, this application package will be returned to me as
incomplete.
NOTE In accordance with General Statutes 143-215.6A and 1,43-215.60, 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 a well as civil penalties up to $25,000 per violation.
Signature: -- — — — -- Date: —
FORM: FTA 04-16 Page 5 of 5

•a Ill u• �
THE TOWN OF Q Cyp
ring
S
January 16, 2019
Director, Division of Water Resources
Raleigh Regional Office
Water Quality Operation Section
1628 Mail Service Center
Raleigh, NC 27699-1628
Re: Application for Sewer Extension Permit
Project: Trinity Creek Phase 3C
Dear Sir or Madam:
NC Dept of Environmental Quality
JAN 2 2 E019
Raleigh Regional Office
Please find enclosed the following items in application for a sewer extension permit to the Town
of I lolly Springs existing sewer distribution system:
0 One original and one copy cover letter including a project narrative
c A check in the amount of $480.00
0 One original and one copy of the State of North Carolina East Track Sever System
Extension Application (FTA 04-16)
o Two copies of FTSE 04-16 Flow Tracking/Acceptance Form
0 Two color copies of a 8.5-inch by 1 1-inch portion of a 7.5 minute USGS Topographic
Map showing project area
0 Two copies of a street Ievel 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.
Sincerely,
Kendra D. Par 'sh, P.E., CFM
Director of� Engineering
KP/se
cc: Project Consultant Engineer, Ryan C. Akers, McAdams Company
Administrative Manager (for addition to sewer permit log)
Rodney Campbell, Development Administrator
Project file/Correspondence #41705
3002
04 172018
Engineerilig Deparhnent
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: Trinity Creek Phase 3C
Design Engineer. Ryan C. Akers
Address: 2905 Meridian Parkway, Durham, NC 27713
Phone Number: 919-361-5000
Email: [e-mail]
Date Complete Application Package Received by Town: V_ 1 fay Lao) b
Date Approved: �% �� $ ��� (by PLC) (by KDP)
As design engineer for this project, I certify the following (please check (x) each applicable box):
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;
That each of the following items are completed and enclosed for submittal to the State for
a sewer extension permit:
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 Force Mains
0 Two copies of FTSE 08-13 Flow Tracking/Acceptance Form
0 Two color copies of a 8.5-inch by i 1-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 locallZOO--
ed Design and Application Certification
Design Engineer's Signature _ _
In addition, once your construction /rawings 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. Box 8, Holly Springs, NC 27540
919-557-3938 • 919-552-9881(Jax)
2003 Scwcr Dcsign Application Certification
04 I' 1Ai8

The John R. McAdams
Company, Inc.
Raleigh / Durham, NC
2905 Meridian Parkway
Durham. North Carolina 27713
[phone]
Charlotte, NC
11301 Carmel Commons Blvd,
Suite I11
Charlotte North Carolina 28226
[phone]
�J McADAMS
September 19, 2018
NCDENR - DWR
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
Re: Trinity Creek Phase 3C
Holly Springs, North Carolina
CRS-18000
The accompanied Fast -Track Application (FTA 04-16) includes 562 lineal
feet of 8" PVC. The gravity sewer will be a public system owned and operated
by the Town of Holly Springs. Phase l of the project will consist of
approximately 10 residential units. The total wastewater flow generated by
Phase 1 of the project is 2,550 GPD.
Sincerely,
THE JOf N R. MCADAMS COMPANY, [NC.
yan C. Akers, E.
Senior Project Manager, Residential
Enclosures
McAdamsCo.com Designing Tomorrow's Infrastructure & Commundr'es

State of North Carolina
DWR Department of Environmental Quality
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: Trinity Creek - Phase 3C
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 tvasteivater jlotv.
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 M NC 0063096
All flows are in MGD
c. WWTP facility's permitted flow 6.0
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow ,
f. Total flow for this specific request 00�-
g. Total actual and obligated flows to the facility _VII
h. Percent of permitted flow used
lI. 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)
Design
Pump
Average Daily
Station
Firm Flow"
(Name or
Capacity, * (Firm;' pf),
Number)
MGD MGD
l7g�i
(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 < 0.
Downstream Facility Name (Sewer): ///l S Iqfl('s j 0Sl dl t5.S �CGi G
Downstream Permit Number: e23 / 4a Q
Page l of 6
FTS E 04-16

III. Certification Statement:
{
certify to the best of my knowledge that the addition of
the volume of was water to a permitted in this project has been evaluated along the route to the
receiving wastewa er 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.
Sign?ng Official
Page 2 of 6
FTS E 04-16

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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. Sudano, 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. Sudano:
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. NC0063096). 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 comments regarding this matter, please contact Mr. Michael D. Allen
at [phone] ext. 547.
cc: Raleigh Regional Office, Water Quality Section
State Engineering Review Group
P.O. Box 29535, Raleigh, North Carolina 27626-0535
An Equal Opportunity Affirmative Action Employer
Since y,
zI e:
/--A. Preston Howard, Jr., P.E.
Telephone [phone] FAX [phone]
50% recycled) 10% post -consumer paper

J McADAMS
September 19, 2018
NCDENR - DWR
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
Re: Trinity Creek Phase 3C
Holly Springs, North Carolina
CRS-18000
The accompanied Fast -Track Application (FTA 04-16) includes 562 lineal
feet of 8" PVC. The gravity sewer will be a public system owned and operated
by the Town of Holly Springs. Phase 1 of the project will consist of
approximately 10 residential units. The total wastewater flow generated by
Phase 1 of the project is 2,550 GPD.
Sincerely,
THE JQWN R. MCADAMS COMPANY, INC.
The John A. McAdams
Company, Inc.
Raleigh l Durham, NC
Jan
2905 Meridian parkway
C, Akers, E.
Durham, North Carolina 2TT13
or Project Manager, Residential
[phone]
Enclosures
Charlotte, NC
11301 Carmel Commans Blvd,
Suite I i i
Charlotte North Carolina 28226
[phone]
McAdamsCoxom Designing Tomorrow's Infrastructure & Commundies