WQ0041122_Application (FTSE)_20190816

Catalyst
lDESIGN GROUP
August 15, 2019
NC DWR
450 W. Hanes Mill Road NC Department of
Winston-Salem, NC 27105 Environmental Quality
Received
AUIG 16 2019
Re: Shadowline Drive Student Housing Winston-Salem
Boone, NC Regional Office
To Whom It Concerns:
We are submitting a Sanitary Sewer Fast Track application for a student housing project located on
Shadowline Drive in Boone, NC. The submittal package includes the following:
- Location Maps(USGS and Aerial)
- Fast Track Sewer System Extension Application with signatures(2 copies)
- Flow Tracking/Acceptance Form from the Town of Boone
- Approval Letter from Town of Boone
The sewer extension is intended to serve a 563-bedroom student housing development with an
anticipated daily flow of 69,360 gpd.
Please review and let me know if you have questions or need additional information. —
Best Regards,
Catalyst Design Group
Jack Parker, PE; LEED AP
Principal/Senior Project Manager
i
Enclosure(s)
2650 Memorial Boulevard,Suite D,Murfreesboro,TN 37130
615.866.24101 www.catalyst-dg.com

State of North Carolina
Department of Environmental Quality
)w Division of Water Resources
15A NCAC 02T.0300—FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16&SUPPORTING DOCUMENTATION
Application NumberW �_�`�._�_a)ta\be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
I. Applicant's name: Town of Boone(company, municipality, HOA,utility,etc.)
2. Applicant type: ❑ Individual ❑Corporation ❑ General Partnership ❑ Privately-Owned Public Utility
❑ Federal ❑ State/Comity ® Municipal ❑ Other
3.Signature authority's name:John Ward III per 15A NCAC 02T.0106(b)
Title: Town Manager NC Department of
Environmental Quality
4.Applicant's mailing address: 567 W King St Received
City: Boone State:NC Zip: 28607-_ AUG 16 2019
5. Applicant's contact information:
Phone number:[phone] Email Address:_ Winston-Salem
Regional Office
11. PROJECT INFORMATION:
1. Project name: Shadowline Drive Student Housing
2. Application/Project status: ® Proposed(New Permit) ❑ Existing Pennit/Project
If a modification,provide the existing permit number: W000_ and issued date:
If new construction but par of a master plan,provide the existing permit number: W000_
3. County where project is located: Watauga
4. Approximate Coordinates(Decimal Degrees): Latitude: 36.203367' Longitude: -81.661169°
5. Parcel ID(if applicable): 2910-43-8349-000
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Jack Parker License Number:046693
Firm: Catalyst Design Group
Mailing address: 5016 Centennial Blvd., Suite 200
City: Nashville State:7_N Zip: 37209-_
Phone number: [phone] Email Address: iparker�catalg corn
IV. WASTEWATER TREATMENT FACILITY(WWTF) INFORMATION:
I. Facility Name: Jimmy Smith W WTP Permit Number: NCO020621
Owner Name: Town of Boone
V. RECEIVING DOWNSTREAM SEWER INFORMATION(if different than WWTF):
I. Permit Number(s): WQ_ Downstream(Receiving)Sewer Size: _inch j
System Wide Collection System Permit Numbers)(if applicable): WQCS00071
Owner Name(s): Town of Boone
FORM: FTA 04-16 Page I of 5

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: HOA)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/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))
L-----*Is there a Pretreatment Program in effect? ❑Yes ❑No
6. Hasa flow reduction been approved under I SA NCAC 02T.0114(f)? ❑ Yes ❑ No
Y If yes,provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type(see 021.01140 Daily Design Flow',b No. of Units Flow
Student Housing- 1 bedroom 240 gal/unit 15 3,600 GPD
Student Housing-2 bedroom 120 gal/bedroom 92 11,040 GPD
Student Housing-4 bedroom 120 gal/bedroom 456 54,720 GPD
gal/ GPD
gal/ GPD
gal/ GPD
i
Total 69,360 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.0114(c),design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
detennined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 69,360 GPD(per I SA NCAC 02T.0114)
Y 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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable)-02T.0305& MDC(Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
8 650 PVC
Y Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ 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
Vlll. PUMP STATION DESIGN CRITERIA (If Applicable)— 20 T.0305& MDC(Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name:
2. Approximate Coordinates(Decimal Degrees): Latitude: C, 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
I
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)(13)_
Y Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
Y 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):
Y 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.
Y 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(f)&(R) ®Yes ❑No
➢ 15A NCAC 02T.0305(f)contains minimum separations that shall be provided for sewers stems:
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-I waters of Class 1 or
Class 11 impounded reservoirs used as a source of drinking water 100 feet
**Waters classified WS(except WS-1 or WS-V), B,SA,ORW, HQW, or SB from normal
high 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 grade(vertical) 36 inches
Y 15A NCAC 02T.0305(a)contains alternatives where separations in 02T.0305(f)cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpape
y If noncompliance with 02T.0305(f)or(R).see Section X of this application
2. Does the project comply with separation requirements for wetlands?(50 feet of separation) ❑ Yes ❑No ® N/A
Y 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
> 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 .02002 ❑ Yes ❑No ®N/A
➢ 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 permits/certifications)? ® Yes ❑No
Per 15A 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
Y 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-nnonths and inspections
documented per 15A NCAC 02T.0403(a)(5)or the permitee's individual System-Wide Collection permit.
FORM: FTA 04-I6 Page 4 of 5

X. CERTIFICATIONS:
I. Does the submitted system comply with I SA NCAC 02T, the Minimum Design Criteria for the Permitting of Pumg Stations
and Force Mains(latest version),and the Gravity Sewer Minimum Design Criteria(latest 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 request is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
1,_ JQt:k I r q rkw attest that this application for
(Professional Engineer's name from Application Item III.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). 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$I0,000,as well as civil penalties up to$25,000 per viola ' n.
...... ............
` . it. rr ipq�
North Carolina Professional Engineer's seal,signature,and date: �`` H A
HE'S
a Q
a
B S j
_ 046693
4,1
3. Applicant's Ce-rtifiicati1on'per I SA NCAC 02T .0106(b):
1, 3tl W v\ ky—J /uW✓1 f ewe SAC'1^ attest that this application for
(Signature Authority's nanie&title from Applicafron 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. 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 143-215.613, 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.
Signature: Vim✓ " Date: 9111 l©I 1
FORM: FTA 04-16 Page 5 of 5

ti_
Department of Public Works
Utilities Division
I
August 14, 2019
Approval Permit
Jack Parker, PE, LEED AP
Catalyst Design Group
2650 Memorial Boulevard, Suite D
Murfreesboro,TN 37130
I
Engineering Plans and Specification Approval
Sanitary Sewer Main Extensions
Shadowlines Student Housing
1 DN 08-14-19-001
Dear Mr. Parker,
The engineering plans and specifications referenced above are approved under the
identification number 08-14-19-001 and are valid for twenty-four(24)months from the date of this letter. If the
proposed extensions/relocations have not been completed by that time,the engineering plans and specifications
must be resubmitted to this department for re-approval.
The approved plans call for the installation of approximately 650-feet of eight-inch PVC gravity sanitary sewer
line with appurtenances to serve the property on Shadowline Dr. in Boone.
Please note this approval only applies to the Town of Boone Public Works Department,Utility Division. All
approvals from regulating authorities required for this project must be obtained by the project
engineer/developer after which the Town shall receive copies of these approvals, including all permits, maps
and plans prior to construction. The Town of Boone must review and approve all easements and documents
required for this project prior to recording. All easements must be surveyed to insure accuracy. All easements to
be recorded will be accompanied by an approved plat. This office must receive copies of all recorded easements
and documents before project completion. "As-Built"drawings will be provided to this department when all
utilities have been successfully constructed. When construction has been completed the new water and/or
sanitary sewer mains cannot be placed into active service until all necessary testing has been completed and(if
applicable) final correspondence has been received from the State of North Carolina for the utility extensions.
All water and/or sanitary sewer mains and appurtenances in the aforementioned project must carry a 12-month
warranty on labor and materials starting from the date placed in to service.
Thank you for your time and cooperation in this matter. If I can provide any further information please feel free
to contact me at 828-268-6250 or mike trivetteatownofboone.net
Sincerely,
Mike Trivette, Utility Services Technician
Cc:
John Ward 111,Town Manager
Ricky L. Miller, Director of Public Works
Joshua J. Eller, Deputy Director of Public Works
Jane Shook, Planning Director

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Boone
Project Name for which flow is being requested: Shadowline Drive Student Housing
More than one FTSE may be required for o single project if the owner of lite WWTP is not responsible for all pump
stations along Cite 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: Jimmy Smith/Town of Boone WWTP
b. WWTP Facility Permit#: NC 0020621
All flows are in MGD
c. WWTP facility's permitted flow 4.82
d. Estimated obligated flow not yet tributary to the WWTP .297
e. WWTP facility's actual avg. flow 2.79
f. Total flow for this specific request 0.06936
g. Total actual and obligated flows to the facility 3.0926
h. Percent of permitted flow used 65%
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 Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm/pf), Avg. Daily Daily Flow, Obligated Available
Number) No, MGD MGD Flow, MGD MGD Flow Capacity***
* The Firm Capacity(design flow)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,per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** 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 1 of 6
FTSE 10-18

III. Certification Statement:
I John Ward, Ill 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 certifies that the receiving
collection system or treatment works has adequate capacity to transport and treat the proposed new
wastewater.
Signing Qfcia Signature D to
10tJh W" 14Y\ck, Cc
Title of Signing Qfrcial
I
i
I,I
I
Page 2 of 6
FTSE 10-18

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