WQ0041269_Application (FTSE)_20191115

DMIR OCT 2 8 2919
PEWDAR
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources WUOS FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (/ L, O6T f .C.bO 1 (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: 'Harnett Regional Water (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: Steven Wazd per 15A NCAC 02T .0106(bl
Title: Director
4. Applicant's mailing address: 700 McKinney Pazlcway
City: Lillington State: NC Zip: 27546,
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: Cape Fear Christian Academy Sewer Exf.
❑ Privately -Owned Public Utility
❑ Other
2. Application/Project status: I ® 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: WQ00
3. County where project is located: Harnett
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.357825' Longitude:-78.695266'
5. Parcel ID (if applicable): CFCA: 070598 0264: Closest to D/S Sewer: 110660 0139
(or Parcel ID to closest downstream sewer)
M. CONSULTANT INFORMATION:
1. Professional Engineer: Steven Hilderhoff License Number: 027263
Firm: Dewbeny Engineers Inc.
Mailing address: 2610 Wycliff Rd, Suite 410
City: Raleigh State: NC Zip: 27607-3073
Phone number: [phone] Email Address: shilderhoffgdewberry.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: North Harnett Regional W WTP
Owner Name: Harnett Regional Water
Permit Number: NCO021636
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Pennit Number(s): WQN/A (US421 at Airport Rd) Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System. Permit Number(s) (if applicable): WQCS000166
Owner Name(s): Harnett Regional Water
FORM: FTA 04-16 Page 1 of 5

VI. GENERAL REQUIREMENTS
I . If the Applicant is a Privately -Owned Public Utility,has a Certificate of Public Convenience and Necessitv been attached?
❑ Yes ❑No ZN/A
2. If the Applicant is a Developer of lots to be sold, has a DevelQyeC's Operational Aereement (FORM: DEV) been attached?
❑ Yes [:]No ®N/A
3. If the Applicant is a Honre/Pnoerty 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
Z School /preschool /day cane ❑ 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 0 % Commercial
0 % Industrial (See 15A NCAC 021-.0103(20))
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .01 144Jjt ? ❑Yes ®No
If yes, provide a copy of Dow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(fl)
Daily Design Flow '•b
No. of Units
Flow
Schools with cafeteria, gym and showers
- 15 gal/student
325
.4,875 GPD:,
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal!
GPD
Total
4,875 GPD
a See I5A NCAC 021' .01 14(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 .01 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 4,875 GPD (per 15A NCAC. 02T .01 14)
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

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Scwcrs):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
$ 20 '. SDR35 PVC
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)
i Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
Vlll. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name: Cane Fear Christian Academy Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.357825' Longitude:-78.695266`
3. Design flow of the pump station: 0.144 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 100 gallons per minuteat:118.feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
4
14,750
'DR25 C900 PVC
4
1,900
FPVC DR18 /
HDPEDRII '
6. Power reliability in accordance with 15A NCAC 02"f_0 05 h ' I :
0 Standby power source or pump with automatic activation and. telemetry - 15A NCAC 02T .0305(h)( I )(B)_
Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
i 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 - I5A NCAC 021"
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emer__ency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
i 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

IX. SETBACKS & SEPARATIONS - (02B .0200. & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in I5A NCAC 02T .0305(f).& (e) ® Yes ❑ No
i I SA NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
_
Water mains (vertical -water over sewer includina 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 1 or
Class 11 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 sloe 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
"r I SA NCAC 02T.0305(,-, contains alternatives where separations in 021.0305(,t) cannot be achieved.
'r **Stream classifications can be identified using the Division's NC SUI NCe Water Classifications weboaee
If noncompliance with 02T.0305(f) or (e), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ® No ❑ N/A
i- Seethe Division's draft separation requirements for situations where separation cannot be meet
Y 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 I5A NC -AC 02B .0200? ®.,yes ❑ No ❑ N/A
➢ This would include Trout Buffered Streams per 15A NCAC 28.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes Z No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained fi•om the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02'T 0105(c)I6) (additional permits/certifications)? I.Z.Yes [-]No
Per I5A NCAC 0, 1 0105(c)(61, directly related environmental permits m 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, storinwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per ISA NCAC 0=T.040'_, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to smeambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes Z 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 I5A NCAC 02'f, the Minimum- Des ien Criteria for the Permitlima of Puna-S-;terms
and Force Mains (latest version), and the Gravity Sesi-er Minimum Desien Criteria_Slatest_v_ersion as applicable?
Z 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:
3.
I I" I A,P
(Professional Engineer's name from Application Item 111.1.)
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. 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 143-215.6B, 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.
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Certl catio r 15A NCAC 02T� .0/106(b):
(S gnature Authority's name & title kin Applications Item 1.3.)
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. -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 tine not to exceed 102000 as well as civil penalties up to $25,000 per violation.
Signature: Date:
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: Harnett Regional Water
Project Name for which flow is being requested: Cape Fear Christian Academy Sewer Ext.
Uore than one FTSE. may he required for a single project tf the owner of the WJVTP is not responsible. for all pump
stations along the route ofthe proposed wastewater/low.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: North Harnett Regional WWTP
b. WWTP Facility Permit #: NCO021636
All flows are in MGD
c. WWTP facility's permitted flow 7.5 MGD
Fuquay-Varina Allocated Flow 2.60 MGD
Lillington Allocated Flow 1.20 MGD
Angier Allocated Flow 1.008 MGD
d. Estimated obligated flow not yet tributary to the WWTP 1.137 MGD
FV Obligated Flow NYT
0.540 MGD
Lillington Obligated Flow NYT
0.113 MGD
HC Obligated Flow NYT
0.324 MGD
Angier Obligated Flow NYT
0,190 MGD
e. WWTP facility's actual avg. flow
5.300 MGD
FV Actual Flow
1.455 MGD
Lillington Actual Flow
0.854 MGD
HC Actual Flow
2.309 MGD
Angier Actual Flow
0.682 MGD
f Total flow for this specific request
g, Total actual and obligated flows to the facility
FV Actual Avg. + Obligated Flow
Lillington Actual Avg. + Obligated Flow
HC Actual Avg. + Obligated Flow
Angier Actual + Obligated Flow
h. Percent of permitted flow used
0.005 MGD
6.472MGD
2.025 MGD
0.967 MGD
2.605 MGD
0.872 MGD
86.29%
Page 1 of 4
FTSE 06-13

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)=(B+C)
(E)=(A-D)
Design Obligated.
Pump Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm / p0, Daily Flow, Daily Flow, Obligated
Available
Number) MGD MGD MGD MGD Flow
Capacity***
SLS 10B 2.020 0.808 0.538 0.143 0.681 0.127
SLS 120 14.4 5.76 2.755 0.990 3.765 1-.995
* 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): North Harnett Regional WWTP
Downstream Permit Number: NC0021636
111. Certification Statement:
i Steve Ward 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 1 and II plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
fonn indicates acceptance of tlW wastewater flow.
Signing Q%icial
Date
Page 2 of 4
FTSF. 06-1

School Wastewater Extension Project - US421
SANITARY SEWER FORCE MAIN
CONNECTION POINT TO EXISTING
GRAVITY SANITARY SEWER
PERMIT NO: N/A
s
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CHRISTIAN ACADEMY ,}
PUMP STATION
61
DATE: TITLE:
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50111914 HARNETT REGIONAL WATER
SCHOOL WASTEWATER EXTENSION 0 0_4 0.8 16 km
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Dewberry
October 22, 2019
Mr. Trent Allen
NC Department of Environmental Quality
Division of Water Resources
Water Quality Section
225 Green Street, Suite 714
Fayetteville, NC 28301-5095
Dewberry Engineers Inc.
2610 Wycliff Road, Suite 410
Raleigh, NC 27607
919.881.9939
919.881�[.9�923! fax
WREETJ
DEQ/DW
OCT 2 5 2019
r-AYE VVQROS
TTEVILI.E REGIONALOFFICE
q'r 350.
Reference: Harnett County, North Carolina RECB VE
Harnett Regional Water (HRW) DEQUAIR
School Wastewater Extension Project
Fast Track Sewer System Extension Applications OCT 2 2019
Dewberry Project # 50111914
0
Dear Mr. Allen: 1Jl%C�OROID �
S
Harnett Regional Water (HRW) intends to install new sewage pump stations at tliree'�x4siz I�I{o�lyq [=(� .
connecting these pump stations to existing gravity sewer via new sewage force mains. There are generally
two project areas as described below.
Sewer Extension Area i — Pump station at Cape Fear Christian Academy with force main along
US-421 to the existing gravity sewer at Airport Road. The project conveys wastewater to HRW's
North W WTP.
Sewer Extension Area 2 — Pumping Stations at South Harnett Elementary School and Anderson
Creek Primary School with force mains that extend along NC-21o, Anderson Creek School Road
and Overhills Road to the existing gravity sewer near the South Prong of Anderson Creek. The
project conveys wastewater to HRW's South W WTP.
Area t design includes a new too-gpm pumping station on the Cape Fear Christian Academy property and
a new 4" PVC force main within US-421 right-of-way for approximately 3 miles, at which point the force
main will connect to an existing sewer manhole near Airport Road.
Area 2 includes a new too-gpm pump station on the South Harnett Elementary School property and a
new 4" PVC force main along NC-210 and Anderson Creek School Road. The force main will then
discharge to the proposed Anderson Creek School Pump Station (too gpm). A 4" PVC force main will
then extend along Overhills Road for approximately 1.7 miles and terminate at an existing sewer manhole
near the South Prong of Anderson Creek.
Please note, the intent is to bid Fusible PVC as an equal to HDPE for creek crossings via Horizontal
Directional Drilling. If a variance is required for this application, please indicate and we will eliminate it
from the project scope and only specify HDPE to avoid a variance.
Harnett Regional Water has reviewed and approved the plans. Erosion Control permit has been
submitted for this project and an NCDOT Encroachment Agreement is under review.
Page 1 of 2

Harnett Regional Water School Wastewater Extension Project
Fast Track Sewer System Extension Application
October 22, 2019
Two fast -track application have been prepared, one for Area 1 and one for Area z which convey to
different W WTPs. Enclosed for your review are one (t) original and (r) copy of the following for each fast -
track application:
• Fast Track Sewer System Extension Application
• Application Fees of $480.00 each
• Flow Tracking/Acceptance Form
• USGS Topographic Map of project area r and 2
• Street Level Maps (Aerial) of Each Pump Station Location
Should you have any questions or comments please to not hesitate to call our office at (9t9) 881-9939 or
email me at shilderhoffodewberrv.com.
Sincerely,
Dewberry Engineers Inc
A h2_Z)
Steve Hilderhoff, PE
Project Manager
Enclosures
Cc: Benjimin Nuesmeyer, HRW Capital Project Manager
Dewberry Page 2 of 2

State of North Carolina
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_DOCUMENTA_ TION
Application Number: (to be completed by DwR) D EQ1 0 tt R
All items must be completed or the application will be returned o C T 2 9 2019 ,I
I. APPLICANT INFORMATION: �r N
1. Applicant's name: Harnett Regional Water(company, municipality, HOA, utility, etc.) AYf�UVROS
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County N Municipal ❑ Other
3. Signature authority's name: Steven Ward per 15A NCAC 02T 0106(b)
Title: Director
4. Applicant's mailing address: 700 McKinney Parkway
City: Lillington State: NC Zip: 27546-_
5. Applicant's contact information:
Phone number: (910) 8933-75 55 Email Address: [e-mail]
H. PROJECT INFORMATION:
1. Project name: Cane Fear Christian Academy Sewer Ext.
2. Application/Project status: N 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:,Harnett
4
107220
RIF
Dewberry
SPECIAL ACCOUNT - Y53/540
2610. Wycliff Road,. Suite 410
{Rayleigh, NC 27607-3073 DATE C� a`3c7
PAY
TO THE
ORDER OF9 � (—> LQ
DOLLARS
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V. RECEIVING DU AM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQN/A (U5421 at ; ort Rd) Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS000166
Owner Name(s): Harnett Regional Water
FORM: FTA 04-16 Page 1 of 5

Permit Number W00041269
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
trent.allen
Coastal SW Rule
Permitted Flow
4,875
Facility
Central Files: APS _ SWP _
11/15/2019
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
Cape Fear Christian Academy Sewer Ext. Minor Fayetteville
Location Address County
Harnett
Facility Contact Affiliation
Owner
Owner Name Owner Type
Harnett Regional Water Non -Government
Owner Affiliation
Steve Ward
Director Interim Public Utilities of
PO Box 1119
Dates/Events Lillington NC 27546111
Scheduled
Ong Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
11/15/2019 10/28/2019 11/15/2019 11/15/2019
Regulated Activities
Wastewater collection
Outfall
Requested/Received Events
Additional information requested
Additional information received
Waterbody Name Streamindex Number Current Class Subbasin