WQ0040946_Application (FTSE)_20190515

State of North Carolina
DWR
Department of Environmental Quality
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: U U 0 4 0 .- (M becompletedby DWRt
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1, Applicants name: City of Durham company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® MunicipaI ❑ Other
3. Signature authority's name: Robert Joyner, PE per 15A NCAC 02T _0106M
Title: Development Group Review Manager WCDept ofEnvironmental Quality
4. Applicant's mailing address: 101 Ci�yt _Plaza MAY 15 2019
City: Durham State: NC Zip- 27701-
5. Applicant's contact information; Raleigh RegionaI Office
Phone number; (9l9 560- 4326 Email Address: Roberf.joyner;;dl-rhomnc.gov
11. PROJECT INFORMATION:
1 _ Project name: Belgreen Subdivision
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 _. _ and issued date.
If new construe Iion but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Durham
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.934093' Longitude--78,900964"
5. Parcel ID (if applicable): 155640, 201868, 155676
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
L Professional Engineer. Bradley Rhinchalt License Number. 21543
Firm: McAdams
Mailing address: 2905 Meridian Parkwa
City: Durham State: NC Zip: 27713-
Phone number: (219) 3361-5000 Email Address: rhinehalt a mcadamsco.com
IV, WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. facility Name: Triangle WWTP Permit Number. NCO026051
Owner Name: Durham County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ Built Before 1984 Downstream (Receiving) Sewer Size: 8 inch
System %Vide Collection System Permit Number(s ifaa licahle�: WQCS 00038
Owner Name(s): Durham County
FORM: FTA04-16 Pagel of5

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 OWA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑No ®NIA
3. If the Applicant is a Ilomell'roperty Owners' Association, has an Operational Agreement (FORM: HOA) been attached'?
❑ Yes ❑No ®N/A
4. Origin nfwastewater: (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 /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 (See _15A NCAC 02T .0103(20))
bIs there a Pretreatment Program in effect? [:]Yes [:]No
6. I las a flow reduction been approved under 15A NCAC 02T .0l 14(f)? ❑ Yes ®No
D If yes, provide a copy of Ilow reduction annroval letter
7. Summarize wastewater generated by project:
Establishment Type (see 22T91140
Daily Design Flow' a
No. of Units
Flow
Single Family homes (3 Bedrooms)
360 gal/home
90
32,400 GPD
gall
GPD
gal/
GPD
gal/
GPD
gat/
GPD
gal/
GPD
Total
32,400 GPD
V//
a See 15A NCAC 02T .0114(b), (d), (c)(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. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in blc 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operatic attems, and other measured data.
8. Wastewater generated by project: 32.400 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: 1•"1"A 04-16 Page 2 of 5

t
VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) • 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted-.
Size (inches) Length (feet) Material
8 2,894 PVC
➢ Section 11 & Ill of the MDC for Permitting of Gravity Sewers contains information related to design criteria
D Section III contains information related to minimum slopes for gravity sewer(s)
D 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 (Puma Stations/Force NIalns):
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 (TDI I)
5. Summarize the force main to be permitted (for this Pump Station):
Size (incites) 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)_
D Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D 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 021' .0305(h)(1)(C):
z 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

• • . IX1 SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(t)):
I. Does the project comply with all separations found in 15A NCAC 02T.0305(f) & (g) ® Yes [:]No
S- 15A NCAC 02T.0305(f) contains minimum scoarations that shall be nrovided for sewer systems:
Setback Parameter*
Sc aration 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
Class If impounded reservoirs used as a source of drinkin4 water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
hijzh water or tide elevation) and wetlands sec 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 grade (vertical)
36 inches
15A NCAC 02T.0305(e) contains alternatives where separations in Q2T.0305(t) cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webpag
D If noncompliance with 02T.0305(f) or (g) sec Section X of this application
2. Does the project comply with separation requirements for wetlands! (50 feet of separation) ® Yes ❑ No ❑ NiA
> See die 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 setbacks found in the river basin rules per I5A NCAg 02B .0200? ® Yes ❑ No ❑ N/A
D This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
Y Information can be obtained from the 401 & Buffer Permitting; Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional pcttnits/certifications)? ® Yes ❑ No
Per I5A 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 ❑ N/A
z 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 Sysiem-Wide Collection permit.
FORM: tTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Desitrn Criteria for the Permitting of Puma Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria 0wesi 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 reguest is required prior to submittal of the Fast Track Application and supportine documents.
2. Professional Engineer's Certification:
I, _._b9AC) (--" �- �L attest that this application for
(Professional Engineer's name from Application Item Ill.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). AIthough other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that 1 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. I f i I � t
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
R ..Ailyo
Fess/."
"7
21543 r • _�
GIN
I,Robert N. Joyner, JR P. E. Development Review Group Manager attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
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 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 fin
of to xcccd $10,000 as well as civil penalties up to $25,000 per violation.
11
Signature: _
Date; 3 va
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: City of Durham
Project Name for which flow is being requested: Belgreen Subdivision
More than one FTSE may be required for a single project if the owner of the 11-7'TP is not responsiblefor till pump
stations along the route of the proposed wasteirater jlow
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Triangle Wastewater Treatment Plant
b. WWTP Facility Permit #: NCO026051
Aft flows are in MGD
c. WWTP facility's permitted flow 12
d. Estimated obligated flow not yet tributary to the WWTP 2.239
e. WWTP facility's actual avg. flow 4.788
f. Total flow for this specific request 0.0324
g. Total actual and obligated flows to the facility 7.059
h. Percent of permitted flow used 58.83
11. 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.' po,
Number)
MGD MGD
N/A
(B)
(C)
(D)�(B+C)
(E)=(A-D)
Obligated,
Approx.
Not Yet
Total Current
Current Avg.
Tributary
Flow Pius
Daily Flow,
Daily Flow,
Obligated
Available
MGD
MGD
Flow
Capacity's**
* 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 NYWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Durham County Sewer
Downstream Permit Number: WQCS00038
Pagel of6
FTSE 0.1-16

I11. Certification Statement:
I Stephanie Brixey _ _ 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 overflgws 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 Official Signature 0 Date -
Page 2 of 6
PTS E 04-16

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PUBLIC WORKS
CITY OF DURHAM
May 7, 2019
N.C. Department of Environmental Quality
Division of Water Resources
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
Dear Sir/Madam:
Subject: Sewer Permit Application -Public
Belgreen Subdivision
NC Dept of Environmental Quality
MAY 15 2019
Raleigh Regional Office
C
Please find enclosed the subject application package, which includes the original and one copy of the
public completed application form (FTA 04-16) and two flow acceptance letters, (form FTSE-04-16
from the City of Durham and Durham County), the appropriate topographic maps, and the $480.00 fee
for the application.
Should you have questions or comments, please do not hesitate to contact me at [phone], ext.
30284.
Manager
City of Durham
Dept. of Public Works
101 City Nall Plaza, Third Floor, Durham, NC 27701 919.560.4326 DurhamNC.gov Follow Us @C© o© rhamNNCC

WADAMS
March 26, 2019
NCDEQ—DWR
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
RE: Belgreen Subdivision
Durham, North Carolina
LEN-17050
COVER LETTER > LEN-17050
NC Dept of Environmental Quality
MAY 15 2019
Raleigh Regional Office
The accompanied Fast -Track Application (FTA 04-16) includes 2,894 lineal feet of 8" PVC gravity sanitary sewer for
the proposed Belgreen Subdivision development located at the intersection of Fayetteville Road and Belgreen Road
in Durham, NC. The sewer system will be a public system owned and operated by the City of Durham. A letter of
transmittal has been provided with detailed description of items included in submittal.
Sincerely,
MCADAMS
Bradley Rhinehalt, PE
Senior Project Manager, Residential
creating experiences through experience 2905 Meridian Parkway, Durham, NC 27713 1919. 361. SODD

' State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: City of Durham
Project Name for which flow is being requested: Belgreen Subdivision
More than one FTSE may be required for a single project if the owner of the FP7VTP is not responsible for all pump
stations along the route of the proposed wasteivater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: _
b. WWTP Facility Permit #:
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
IL 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) v(B+C)
(E)=(A-D)
Design Obligated,
Pump Average Daily Apprux. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm / pf), Daily Flow, Daily Flow, Obligated
Available
Number) MGD MGD MGD MGD Flow
Capacity***
No pump stations involved, existing downstream sewer main frm point of
tie—in to
point nf rrnncfPrtn Durham County main is gravity _flow with sufficient
ca an rit -
to serve proposed extension.
* 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):
Downstream Permit Number:
Page I of 6
FTS F 04-16

III. Certification Statement:
I Robert N. Jo er, Jr., P.E. 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 II plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indioaiN acceptance of this wastewater flow.
Signing Official
!9
Date
Page 2 of 6
USE 04-16