WQ0041138_Application (FTSE)_20190828

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: V" 0 Q ! i J p (to bccomplow by DWR)
All items must be_completed ar the anolication will be returned
I. APPLICANT INFORMATION: C •�G "' r`t t
1. Applicant's name: City of Mebane (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 Rollins perJ5ANCA!C3JTXlNft Environmental Quality
Title: Acting City Manager
4. Applicant's mailing address: 106 E. Washington Street AUG 2 8 201E
City: Mebane State: NC Zip: 27302-
5. Applicant's contact information: weigh Regional Office
Phone number: (2L9) 563-5901 Email Address: crollins a,cityofinebane.com
li. PROJECT INFORMATION:
1. Project name: The Retreat at Lake Michael
2. Application! Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Orange
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.1087' Longitude:-79.24640
5. Parcel ID (if applicable): 9825-78-0541
(or Parcel I to closest downstream sewer)
111. CONSULTANT INFORMATION:
I- Professional Engineer: Tim Smith License Number: 30517
Firm: Summit DesiLm & En ineerin
Mailing address: 504 Meadowlands Drive
City: Hillsborough State: NC Zip: 27278-_
Phone number: (9732-3883 Email Address: tim.smithCasummitde.net
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: City of Mebane WRRF Permit Number: NCO021474
Owner Name: City of Mebane
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ0039748 Downstream (Receiving) Sewer Size: 10 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00081
Owner Name(s): City of Mebane
FORM: FTA 04-16 Page I of5

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 ®NIA
2. If the Applicant is a Developer of lots to be sold, has a Develoner's Operational Agreement (I.ORM:.DGV1 been attached?
❑ Yes ❑No ®NSA
3. If the Applicant is a Home! Property Owners' Association has an Operational AP
greement FORM: HOA been attached?
❑ Yes ❑No ZWA
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 J preschool..' day care ❑ Medical / dental 1 veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church
❑ Swimming PoollFilter Backwash
❑ Businesses? offices! factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % DomesticlCommercial . % Commercial
% Industrial (See 15A NCAC 02T .0103 20
4 Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T ,0 [ 14( t ? ®Yes ❑ No
D If yes, provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.01140
Daily Design Flow I,b
No. of Units
Flow
4 BR Single family'80gpd/BR
320 gal;'day
43
13,760 GPD
gal!
GPD
gal.:
GPD
gal;'
GPD
gale
GPD
gal!
GPD
Total
13,760 GPD
a See 15A NCAC 02T .0114(h). (d). (e)f 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 oreast ofthe Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A4).
b Per I5A NCAC 02T .01 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow Oata, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by projectAl GPD ( er I SA NCAC OZT .0114
i Do not include future flows or previously permitted allocations
I f 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 1,780 DIP
D Section II & III 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)
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 (PumR 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 (TDW)
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 021 _0305(h}(11:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(I)(B).
D 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.
D 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

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
I. Does the project comply with all separations found in t f1A NCAC 02T _0 05(t ckc (e1
D 15A NCAC 02T.0305(f) contains minimum <enaratinnc that shall be
® Yes ❑ No
Setback Parameter*
Se aration Required
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer including in benched trenches
I8 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 11 impounded reservoirs used as a source ofdrinkina water
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
hiph 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(e) contains alternatives where separations in 02T.0305 cannot be achieved.
z **Stream classifications can be identified using the Division's NC.Surface Waler_Class(ctions wehltae
D If noncompliance with 02T.0305 or see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ®Yes, [:]No ❑ N?A
D 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 ,0?00'x ❑ Yes ❑ No ® N,'A
i 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?
D Information can be obtained from the 401 & Buffer.Permittine 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 arc 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, server 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 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 Desi jn ('I -it yria for The Permig trip.of Pump Staticros
and Force Mains (1,11cct version), and the Ca_Minirnum DesiFrn Criteria Ititest verse 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:
, -5mi `Y R. C, attest that this application for
(Professional Engineer's name from Application Item I11.I.)
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. 1 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. _- If
North Carolina Professional Engineer's seal, signature, and date
3. Applicant's Certification per 15A NCAC 02T .0106(b):
XCIZ-1v S
(Signature Authority's
�zoy& Gx/�O'Jw,
& title from Application Item 1.3.)
4P,11
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 make no claim against the Division of Water Resources should a condition
of this permit be violated. I also understand that i f 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 S25,000 per violation.
Signature: �/� _ Date: 1 2 1)9
FORM: FTA 04-16 Page 5 of 5

NC Dept of Environmental Quality
D, W R AUG 2 3 2013
Division of Water Resog1gi1Regional Office
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Mebane
Project Name for which flow is being requested: Retreat at Lake Michael
More than one FTSEmay be required for a single project if the owner of the IVWTP is not responsible for all pump
stations along the route of the proposed wasteivater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: City of Mebane WWTP
b. WWTP Facility Permit #: NC 0021474
All flows are in MGD
c. WWTP facility's permitted flow 2.5
d. Estimated obligated flow not yet tributary to the WWTP 0.638
e. WWTP facility's actual avg. flow 1.450
f. TotaI flow for this specific request .01376
g. Total actual and obligated flows to the facility 2.088
h. Percent of permitted flow used 84%
I1. 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 1 po, Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
N. Reg 0035831 2.5 1.0 .289 .106 .395 .605
* The Firm Capacity (design Ilow) 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). Northeast Village Outfall
Downstream Permit Number; WQ0039748
Page I of 6
FTSE 10-18

III. Certification Statement:
I 00*02 �04-L44 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 Official
?A G C,rf'77-c
of Signing Offcial
Page 2 of 6
9
M
Date
FTSE 10-18

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
March 15, 2011
Robert L. Wilson
City Manager
City of Mebane
106 East Washington Street
Mebane, NC 27302
Subject: Mebane W WTP (NC0021474)
Flow Reduction Request
Alamance County
Dear Mr. Wilson:
Dee Freeman
Secretary
On February 14, 2011, the Pretreatment, Emergency Response and Collection System (PERCS) Unit of
the Division of Water Quality received a flow reduction request for connections to the City of Mebane WWTP.
The letter requests an allowable flow rate of 80 gallons per day (gpd) per bedroom based on the evaluated data.
As daily WWTP data is not representative of the project area, the DMR data from the City of Mebane
WWTP (NC0021474) from January 2009 through December 2009 was evaluated to determine the peak sewage
month. The highest flow month was December 2009. Daily wastewater flows were recorded downstream of
the Holly Ridge Subdivision during December 2010. This data was reviewed by PERCS and Regional Office
staff.
Based on the data, the Division hereby grants a reduction in flow to 80 gpd/bedroom (minimum of 160
gpd for 1 and 2 bedroom residences) for sewer extension permits issued tributary to the City of Mebane
WWTP.
Regardless of the adjusted design daily wastewater flow rate, at no time shall the wastewater flows
exceed the effluent limits defined in the NPDES permit for the treatment -facility -or exceed the capacity of the
sewers downstream of any new sewer extension or service connection(s).
If you have any questions or comments regarding this matter, please contact Sarah Morrison at (919)
807-6310, or email [[e-mail]] or Deborah Gore, Unit Supervisor at [phone], or
email [[e-mail]].
Sincerely,
;r Coleen H. Sullins
ccDarrell L. Russell, P.E„ Alley, Williams, Carmen & King, Inc. (vir, email: dniswll@awckcom;
Steve Mauney, Winston-Salem Regional Office (via email)
NPDES Unit, Permit File NCO021474
PERCS Flow Reduction File
1617 Mail Service center, Raleigh. Nash Carolina 27699-1617
Location: 512 N. Salbhury St Raleigh. North Carolina 276% �?ne
Phone: [phone] % FAX 919-8D7.6492 % PERCS Unit FAX. [phone]i 1 Customer Service 1.877-623-6748 , O Caro i nor
Internet: [e-mail]1we PERCS Unit• h !ttn loortatnedenr 2lplrreb/Md1lSVCAIDs! rp et /�
An Equal Oppormrih[imra 1 AfM Adon Employer atuH a Y

ronMolltliiQua lr�
USUMMIT U6 2 8 Z019 504 Meadowlands Drive, Hillsborough, NC 27278
DESIGN AND ENGINEERING SERVICES Phone [phone] Web 1/ www.sommilde.net
Raleigh Regional Office
LETTER OF TRANSMITTAL
TO: NCDEQ - Division oFWater Resources DATE: 8/26/2014 PROI. NO.: 18-0104
1628 Mail Service Center RE: The Retreat at Lake Michael - Fast Track Application
Raleigh, NC 27699-1628
VC Wept-6rEnvironmentlil Qaatfty
ATTN: Mall - 7 `1I - 42c►o - Af1G 2 a 2019
WE ARE SENDING YOU Raleigh Regional Office
✓ Prints Lj Reproducible :✓' Specifications—
✓ Copy of Letter [ Change Order Transmitted Via
✓ Attached LI Under Separate Cover Shop Drawings
COPIES
DRAWING
DATE
DESCRIPTION
Cover Letter
Fast Track Form & Fee Check _
1
N/A
8/27/19
I
N/A
8/26/ 19
1
N/A
8/22/19 1
Flow Tracking Form (FTSE)
I
N/A
-
Site Maps (USGS & Google Street Level)
I
N/A
3/15/2011
Flow Reduction Request Letter
TRANSMITTED
✓ For Approval
COMMENTS:
k
4
COPY TO:
'E As Requested
For Your Use
For Review and Comment
I
i
SIGNATURE: Timoth. Smith

peptof ,nv1 ax._ nmental Quality SUMMIT AUG 2 8 2019
504 Meadowlands Drive, Hillsborough, NC 27278
DESIGN AND ENGINEERING SERYICE,e1h� �e10n�-� 919.732.3883 Web // www.summitde.net
Project:
SDE Project #:
Information Provided by:
Contents:
Cover Letter
The Retreat at Lake Michael
18-0104.010
Timothy A. Smith, P.E.
August 27, 2019
Cover Letter, wastewater flow calculations and project narrative, Division of Water Resources
Fast Track Sewer System Extension Application and attachments.
Project Narrative:
The Retreat at Lake Michael project consists of 43 single family lots and associated public roads,
utilities, open space and sidewalks on a 15.80 acres parcel of land. The homes will be one and
two story four -bedroom units. The site is located on Lebanon Road in Mebane, North Carolina
and identified with Orange County Parcel PIN # 9825-78-0541. The development of this site will
require a public sewer extension to connect to the City of Mebane sewer system. The gravity
sewer extension will consist of 8 new manholes and 1,633 If of 8" SDR-35 PVC pipe and 147 If of
8" DIP pipe. The new sewer main will connect to an existing City of Mebane sewer manhole
located on the north side of Lebanon Road. This existing manhole and sewer line permitted
under WQ0039748.
Wastewater Flows:
4-bedroom residential homes @ 80gpd/bedroom with a 160* gpd min.
(Exact mix unknown; flow is calculated at the highest possible volume)
* See Attached Flow Reduction for the City of Mebane
43 homes x 4 bedrooms x 80 gal/bdrm=13,760 gpd
Total Wastewater Flow = 13,760 gpd
Items included with this submittal: (one original and one copy)
• Cover Letter
• Fast Track Form and $480 fee check
• Flow Tracking Form
• Site Maps (L1SGS and Google Street Map)
• Flow Reduction Letter
A

Cashion, Ted
From: Henderson, Justin L
Sent: Friday, October 11, 2019 10:48 AM
To: Cashion, Ted
Subject: RE: The Retreat at Lake Michael fast track sewer extension application, City of Mebane
Ted,
I am doing well, hope you are too. We have no objections with Mebane accepting the proposed flow. Thanks.
From: Cashion, Ted <[e-mail]>
Sent: Friday, October 11, 2019 9:13 AM
To: Henderson, Justin L <[e-mail]>
Cc: Robinson, Jason <[e-mail]>
Subject: The Retreat at Lake Michael fast track sewer extension application, City of Mebane
Hi Justin,
Hope all is well with you and WSRO.
We have a fast track application in house for Mebane for 43 homes and 13,760 gpd trib to the Mebane WWTP. Project
is in Orange County.
Just checking to see if yall have any problems with Mebane taking this additional flow?
Thanks Justin, we'll issue the permit upon your approval.
ted
Ted Cashion
Water Quality Regional Operations
Division of Water Resources
NC Department of Environmental Quality
Raleigh Regional Office
919-791-4254
ted.cashionOncdenr.eov
1628 Mail Service Center
Raleigh, NC 27699-1628
3800 Barrett Drive
Raleigh, NC 27609
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