WQ0040683_Application (FTSE)_20190918

KENNERLY
ENGINEERING & DESIGN, INC.
N C Department of
Environmental Quality
Received
SEP 18 2019
TRANSMITTAL LETTER:
n- a em
Date: September 17, 2019 Regional Office
To: Justin Henderson
NCDEMLR -DWQ
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
From: Timothy S. Kennerly, PE
Project Name: Quality Inn Sanitary Sewer
Project Number: 19-002
We transmit:
❑ by mail
❑ by overnight carrier
❑ by courier
® Hand Delivered
The following:
❑ prints
❑ specifications
❑ change order
❑ shop drawings
® Rev.
Calculations
Number
For:
❑ your approval
® your review
❑ revision/submission
❑ distribution
❑ as requested by
❑ as approved by
❑ please acknowledge
receipt
❑ return enclosures
Comments: Please find attached Revised Calculations with Modified Permit Forms and
a check for $480 for the above referenced project.
If enclosures are not as noted, please notify us at once.
Signed:
Phone: [phone]
12133 N. HWY 150, Ste. F W Ireton -Salem, NC 27127 Fax: [phone]
www.ken nerlyengineeri ng.com

NC Department of
Environmental Quality
Received
SEP 18 2019
KENNERLY Winston-Salem
Regional Office
ENGINEERING & DESIGN, INC.
NISHANT, LTD.
QUALITY INN
101 PLAZA PARKWAY
LEXINGTON, NC 27292
PUMP STATION
APPLICATION
s`%0 1C AI III '/,/��Oii
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February 149 2019
REV 9/17/19

KENNERLY
ENGINEERING & DESIGN, INC.
September 17, 2019
Justin Henderson
Environmental Specialist II
Winston Salem Regional Office
Division of Water Resources
RE: Project Name: Quality Inn Pump Station Flow Revision
County: Davidson
City: Lexington
Address: 101 Plaza Parkway
Permit No. WQ0040683
Submitted by: Kennerly Engineering & Design, Inc.
Mr. Henderson,
We would like to request a modification to the existing permit WQ0040683 to reduce the drainage
area to the pump station. The original drainage basin to the pump station was 10.24 Acres, we
would like to request to reduce the drainage basin to 3.78 Acres. This would cover the remaining
portion of the property owned by Mr. Patel.
I have attached a letter form Roger Jones, Public Services Manager, City of Lexington, NC,
regarding the removal of this pump station with future development upstream of the existing pump
station. According to the City of Lexington any developer that plans to develop up stream of the
existing pump station in the Plaza Parkway, LLC property will be required to install gravity sanitary
sewer trunk lines from the existing 24" sewer outfall. The developer will also be required to remove
the pump station at the Quality Inn and the pump station located approximately '/2 mile to the
Southwest along Parkway Plaza Road.
Should you have any questions, please do not hesitate to contact us at 336.775.2118
Sincerely,
Timothy S. Kennerly, P
Senior Engineer
Phone: [phone]
12133 N. HWY 150, Ste. F Winston-Salem, NC 27127 Fax: [phone]
www.kennerlyengineering.com

LEXINGTON
NORTH CAROLINA
PUBLIC SERVICES
SERVICE FIRST
June 12, 2019
Fairview Dr — Cotton Grove NC8 — Plaza Parkway Development Plan for Sewer
This area has significant retail/mixed use development potential and is developing. In the last two years
Planet Fitness and Chick-Fil-A have opened and a Starbucks is in the planning process. New
development will add gravity sewer and allow the City to take three pump stations out of service.
The three story Hampton Inn and the apartment complex Arbor at Cotton Grove will break ground soon.
These sites will install 8" gravity sewer connecting to a 24" outfall. The City will tie existing services on
Fritts St to the new gravity line and abandon the pump station.
The largest acreage to develop is owned by Plaza Parkway LLC. An access road was built by the City in
2008 and water extended. The recession halted forward progress. Approximately two years ago the
current property owner purchased additional property enlarging the site and created a mixed use retail
master plan.
Plaza Parkway LLC has multiple connection points along the 24" sewer outfall. Also a possible tie point is
available at a cul-de-sac in a residential subdivision (sewer lines with red circles). When this
development occurs it will allow the City to extend gravity sewer and eliminate the need for two existing
pump stations along Plaza Parkway.
Sincerely,
RogerJones,PE
Public Services Manager
Water Resources - Public Works - Engineering
711 S. Talbert Boulevard - Mail: 28 West Center Street - Lexington, NC 27292 - 336.248.3930
W W W.LEXINGTONNC.GOV
10 RECYCLE FIRST

State of North Carolina
DWR Department of Environmental Quality
T Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
W Q00�tdbD3— to becompleted by
Application Number: by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Nishant. LTD Quality Inn (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: Neil Patel per 15A NCAC 02T .0106(b)
Title: Owner
4. Applicant's mailing address: 101 Plaza Parkway
City: Lexington State: NC Zip: 27292
5. Applicant's contact information:
Phone number: C336) 250-0834 Email Address: patelneil2003(2vahoo.com
II. PROJECT INFORMATION:
1. Project name: Quality Inn Pump Station
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: W00040683 and issued date: 3/04/19
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: Davidson
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.783913' Longitude:-80.25022°
5. Parcel ID (if applicable): 6724-04-92-1757
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Timothy S. Kennerly License Number: 29317
Firm: Kennerlt Engineering & Design. Inc.
Mailing address: 12133 N. NC HWY 150, STE F
City: Winston-Saelm State: NC Zip: 27127
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Lexington Regional Wastewater Treatment Plant Permit Number: NCO055786
Owner Name: City of Lexington
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: _ inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
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 NN/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEVI been attached?
❑ Yes ❑No NN/A
3. If the Applicant is a Home/Property Owners' Association has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No NN/A
4. Origin of wastewater: (check all that apply)
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service N 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))
Is there a Pretreatment Program in effect? ❑ Yes N No
6. Hasa flow reduction been approved under 15A NCAC 0210114(fl? ❑ Yes N No
➢ If Yes provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140
Daily Design Flowb
No. of Units
Flow
Existing Hotel
120 gal/Room
59
7,080 GPD
Business
880 gal/AC
3.78 AC
3,326 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
10,406 GPD
See 15A NCAC 02T O114(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. 42A-4).
Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 7 080 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: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewersl:
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 370 PVC
➢ Section II & 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)
➢ 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 (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Quality Inn Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.783913' Longitude:-80.25022°
3. Design flow of the pump station: 0.0177 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 250 gallons per minute at 50 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
4
1,600
PVC
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(I):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B).
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ 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):
➢ 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- I6 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T 0305(f) & (0 N Yes ❑ No
)> 15A NCAC 02T.0305(fl contains minimum cennratinnc that Shan h<..,.,.,;.toa rn -,.. o......
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-1 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 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 interce for drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ I5A NCAC 02T.0305(a) contains alternatives where separations in 02T.0305(fl cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
)> If noncompliance with 02T.0305(fl or (a), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No N N/A
➢ 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 .0200? ❑ Yes ❑ No N 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 N No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? N 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 N No ❑ N/A
➢ 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 System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump 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/Altemative 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:
N.na-rKN
(Professional Engineer's name
Item III.1.)
that this application for
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 143-215.613, 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:
Applicant's Certificatio er 15A NCAC 02T .0106(b):
I. O.J :
Authority's name & title from Application Item I.3.)
that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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 fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: N' �Gtfi� Date:
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Nishant, LTD
Project Name for which flow is being requested: Quality Inn Pump Station
More than one FTSE maybe required for a single project if the owner of the WWTP is not responsible for all pump
stations along the 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: Lexington Regional Wastewater Treatment Plant
b. WWTP Facility Permit #: NCO055786
Allflows are in MGD
c. WWTP facility's permitted flow 6.8
d. Estimated obligated flow not yet tributary to the WWTP .16
e. WWTP facility's actual avg. flow 2.8
f. Total flow for this specific request 0.009 MGD , 010
g. Total actual and obligated flows to the facility 2.969
h. Percent of permitted flow used 43.67
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
Average Approx. Obligated,
Pump Pump Daily Current Not Yet Total Current
Station Station Firm Flow** Avg. Daily Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pt), Flow, Daily Flow, Obligated Available
Number) No. MGD MGD MGD MOD Flow Capacity***
Wal WQ0001404 .2664 .1066 .0222 0 .0222 .0844
* 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 h S 1 1 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
Date
U
Page 2 of 6
FTSE 10-18

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