Loading...
HomeMy WebLinkAboutWQ0041212_Application (FTSE)_20190925State 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: W©._ o� (to be completed by DWR) All items must be completed or the application will be returned I. APPLICANT INFORMATION: 1. Applicant's name: Sung County (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: Chris Knopf per 15A NCAC 02T .0106(b) Title: County Manager 4. Applicant's mailing address: 118 Hamby Road NC Department of City: Dobson State: NC zip: 27017- Environmental QualityReceived 5. Applicant's contact information: 36 SIT 2 5 2019 Phone number: (3401-8201 Email Address: knopfc(a),co.suny.nc.us Winston-Salem II. PROJECT INFORMATION: Regional Office I. Project name: Laurel Spines Church Road Gravity Sewer Extension 2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project If a modification, provide the existing permit number: W000_ and issued date: _ If new construction but part of a master plan, provide the existing permit number: W000 3. County where project is located: Sri 4. Approximate Coordinates (Decimal Degrees): Latitude: 36.476°Longitude:-80.746' 5. Parcel ID (if applicable): 4989-02-76-9665 (or Parcel ID to closest downstream sewer) III. CONSULTANT INFORMATION: 1. Professional Engineer: Kevin Heath, P.E. License Number: 21204 Firm: The Lane Group Mailing address: 119 North Main Street City: Galax State: VA Zip: 24333 Phone number: (2� 2364588 Email Address: kheath(@,thelaneeroupinc.com IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: 1. Facility Name: City of Mount Airy Wastewater Treatment Plant Permit Number: 0021121 Owner Name: City of Mount Airy V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF): 1. Permit Number(s): WQ36805 Downstream (Receiving) Sewer Size: 8 inch System Wide Collection System Permit Number(s) (if applicable): WQCS Owner Name(s): FORM: FTA 04-16 Page l of 5 VI. GENERAL REQUIREMENTS I. 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 15A NCAC 02T .0114(f)? ❑ Yes ❑ No ➢ If yes, provide a copy of flow reduction approval letter 7. Summarize wastewater generated by project: Establishment Type (see 021.01140 Daily Design Flow a•b No. of Units Flow Residential Home - 3 bedroom 360 gal/house/day 9 3,240 GPD Commercial Business Employees 25 gal/employee/day 40 1,000 GPD Truck Wash Flow Projections Provided by New Trucking Business 5 gaUmin*(60min hr) * (8 hr/day) I 2,400 GPD gal/ GPD gal/ GPD gal/ GPD Total t#t 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. 42A-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, occupancy or operation patterns, and other measured data. 8. Wastewater generated by project: 6 640 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 Sewers): 1. Summarize gravity sewer to be permitted: Size (inches) Length (feet) Material 8" 4,945 PVC and D.I. ➢ 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 VIll. 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: 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 NCAC 02T .0305(h)(1): ❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13)_ ➢ 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)(l)(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- l6 Page 3 of 5 IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(i)): 1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g) ® Yes ❑ No ➢ 15A NCAC 02T.0305(f) contains minimum senaratinns that shall he. nrnvided far cewer cvstemr 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 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 interceptor drains 5 feet Any swimming pools 10 feet Final earth grade vertical 36 inches ➢ 15A NCAC 02T 0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved. ➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webnage ➢ If noncompliance with 02T.0305(f) or (i& see Section X of this application 2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® 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/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? ➢ 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.04021 "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 ➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location) High priority tines 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: I. Does the submitted system comply with ISA NCAC.02T, the Minimum Design Criteria for the Permitting of Pump Slalions and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable? N 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: Kevin Heath, P.E. attest that this application for (Professional Engineer's name from Application Item 111.1.) 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 havejudged 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 $10,000, as well as civil penalties tip to $25,000 per violation. North Carolina Professional Engineer's seal, signature, and date: Xv 4W 9/24/17 3. Applicant's Certification per 15A NCAC 02T .0106(b): name .- Cs R0?i =O: QeeF o4gl.Z SEAL 021204 •A 2q •'f';;G I N, EEP: �P I(EV I14 that this application for 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 stake no claim against the Division of Water Resources should a condition of this permit be violated. 1 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 43-2 5.6A 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: _T Date: -t vo �9 FORM: FTA 04-16 Page 5 of 5 State of North Carolina DWR 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: Surry County Project Name for which flow is being requested: Laurel Springs Church Road Sewer Ext. More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pomp stations along the route of the proposed wastewaterJlow. I. Complete this section only if you are the owner of the wastewater treatment plant. a. WWTP Facility Name: City of Mount Airy Wastewater Treatment Plant b. WWTP Facility Permit #: NC 0021121 All flows are in MGD c. WWTP facility's permitted flow 7.0 d. Estimated obligated flow not yet tributary to the WWTP 0.400 e. WWTP facility's actual avg. flow 1.83 f. Total flow for this specific request g. Total actual and obligated flows to the facility It. Percent of permitted flow used 0.01 2.24 32.0% 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) Design Pump Average Daily Station Firm Flow** (Name or Capacity, * (Firm / pf), Number) MGD MGD Fisher 0.461 0.184 (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*** 0.018 0.003 0.021 0.163 Stewarts 0.547 0.219 0.02 0.034 0.054 0.165 * 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 1 of 6 FTSE 04-16 III. Certification Statement: I Mitch Williams, 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 indicates acceptance of this wastewater flow. Signing J'ignature 09.19.19 Date Page 2 of 6 FTSE 04-16 I / 1717 E • ��I �� r; \ C�iHlyla , ti ; ... i t � .�`. fill LAUREL"SPRINGS CH, RCH �D SEWER EXTENSION' RQ IECT AREA; 1 V �� •-.,� Azoo 1 139 i.y r V 13 r t Lithe LAUREL SPRINGS CHURCH PROJECT ROAD SEWER EXTENSION LANE 1:rng,�,n,::,n.nre LOCATION MAP GROUP envimnme SURRY COUNTY, NC RevI Rev2 R-3 Drawn By scr page Ohe' tl By Dale', 09112ftol9 � LJtheA LN E I.- nginerchitecture GR O U P environmental w Jhelanegrouphc,com September 24, 2019 Mr. Justin Henderson, Environmental Specialist II NCDEQ — Division of Water Resources Winston-Salem Regional Office Water Quality Section 450 W. Hanes Mill Road, Suite 300 Winston-Salem, NC 27105 Re: Laurel Springs Church Road Gravity Sewer Extension Sorry County, NC Dear Mr. Henderson: NC Department of Environmental quality Received SEP 2 5 2019 Winston-Salem Regional Office Please find enclosed for your review/ processing the following items for the above referenced project: — original and one (1) copy of Form FTA 04-16 Fast -Track Sewer System Extension Application — one (1) completed and executed Form FTSE 04-16 one (1) copy of the 8.5" x l 1" Site Map — check for $480.00 made out to NCDEQ for the application fee This project includes construction of a sanitary sewer line extension along Laurel Springs Church Road in Sorry County. Construction will include approximately 5,000 if of 8" gravity sewer line, manholes, and related improvements. If you have any questions or need additional information, feel free to call. Sincerely, THE LANE GROUP iWUVrI Kevin Heath, P.E. cc: Chris Knopf, Surry County Mitch Williams, P.E., City of Mount Airy KH/sct Engineers • Architects • Surveyors • Planners • Environmental Specialist 119 North Main Street • Galax, Virginia 24333 Phone: 276.236.4588 • Fax: 276.236.0458 - www.thelanegroupinc.com Henderson, Justin L From: Kevin Heath <kheath@thelanegroupinc.com> Sent: Monday, September 30, 2019 8:08 AM To: Henderson, Justin L Subject: [External] RE: Laurel Springs Church Road Gravity Sewer Extension project Justin: The new business is the trucking operation for Bottomley Farms. This is relocating their existing facility from Alleghany County to anew building that is being built in Surry. The Owner indicated tome that the new building would have one bay for washing their trucks and trailers only —it will not be available to the general public. The 2T flow data said to use 1,200 GPD/bay for carwashes, but the Owner indicated to me that we should plan for 5 GPM for the duration of an 8 hour workday.... so I used the higher 2,400 GPD value on the application form. Let me know if you need anything else. Thanks. Kevin Heath, PE I Vice President 276.236,4588 - Galax Office 1276,206.8571 - Abingdon Office 276.233.7167 - Mobile . the LAN � �c e� GR O U P an"onmenid Abingdon I Big Stone Gap I Galax From: Henderson, Justin L[mailto:justin.henderson@ncdenr.gov] Sent: Monday, September 30, 2019 7:50 AM To: Kevin Heath <kheath@thelanegroupinc.com> Subject: Laurel Springs Church Road Gravity Sewer Extension project Kevin, I am reviewing the application for the subject project and have the following questions: 1) How many bays are or will be present at the "truck wash flow" business? I appreciate your timely response to this inquiry. Thanks and feel free to contact me with any questions. Justin Henderson Environmental Specialist II Winston Salem Regional Office Division of Water Resources (336)776-9701 0ustin.henderson@ncdenr.gov