WQ0041270_Application (FTSE)_20191125

� 7Ut Mate of North Carolina
k
f U t Department of Environmental Quality
x 4a nivician of Wa+ar Raennrnac
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
(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 ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Steven Wazd 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: (9O 8933-=5 Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: AC and SH Elem. School Sewer Exts
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: W000_
3. County where project is located: Harnett
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.298017' Longitude:-78,893554'
5. Parcel ID (if applicable): SHES: 010547 0024 01: ACPS: 010525 0110: Closest to D/S Sewer: 010535 0100
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Steven Hilderhoff License Number: 027263
Firm: Dewberry Engineers Inc
Mailing address: 2610 Wycliff Rd, Suite 410
City: Raleigh State: NC Zip: 27607-3073
Phone number: (919 881-9939 Email Address: shilderhoff(a)dewberry.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: South Harnett Regional W WTP
Owner Name: Harnett Regional Water
Permit Number: NCO088366
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): W00035012 (Overhills Rd.) Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Numbers (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 Necessity been attached?
❑ Yes ❑NoZN/A
2. If the Applicant is a Developer of lots to be sold. has a De),12elppur s 9perational .4m�ecment FORM: DI::V) been attached?
❑ Yes ❑No ZN/A
3. If the Applicant is a Home/Propertv Owncis' Association. has an Operational Aereenrent (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 ❑ 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 0 % Commercial
0 % Industrial (See 15A NCAC 02T 0103(20))
"is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under I SA NCAC 02T .01 14(fl? ❑ Yes ® No
➢ If yes, provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.0114(f))
Daily Design Flow'"
No. of Units
Flow
Schools with cafeteria
12 gal/student '
600
7,200 GPD '
Schools with cafeteria -
12 gal/student
766
9,192 GPD_-
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
16,392 GPD
a See 15A 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 .0I 14(c), design flow rates for establishments not identified [in table I SA NCAC 02T._01,14) shall be
determined using available flow data, water, using fixtures, occupancy or operation patterns, and other measured data.
S. Wastewater generated by project: 16.392 GPD (per 15A NCAC 02T 01_1 4)
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-I6 Page 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .03U5 &MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 40 SDR35 PVC
Section Il & 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) _ -
y Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VII1. 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: South Harnett Elementary School Punter Station
2. Approximate Coordinates (Decimal Degrees): Latitude:35.298017` Longitude:-78.893554'
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 minute at.90 .feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
4
9,325
DR25 C900-PVC
4 -
2,175
FPVC DRIB /
1HOPE DR.1:1
6. Power reliability in accordance with 15A NCAC 021-.0305(It)(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 timef-ames, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04.16 Page 3 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T'.0305 & MDC (Gravity Sewers):
1. Summarize gravity sewcr to be permitted:
Size (inches) Length (feet) Material
I
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)
Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
Vlll. PUMP STATION DESIGN CRITERIA (If Applicable) — U2T.0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name: Andreson Creek Primary School Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.281163` Longitude:-78.918211'
3. Design flow of the pump station: 0.144 millions gallons per day (firm capacity)
4. Operationalpoint(s) oftlte pump(s)i 100 gallons per minute at 50 feet total dynamic head (TD141
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
4
8,195
'PVC
4
1,925
FPVC DR18 /
HDPE DRIB
6. Power reliability in accordance with 15A NCAC 02 I: , 305(h (1):
® Standby power source or pump with automaticactivationand 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
01 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 021'
.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 04-16 Paee 3 of 5

IX. SETBACKS & SEPARATIONS — (02B.0200 & 15A NCACO2T.0305(f)):
1. Does the project comply with all separations found in .15A NCAC 021 A305(f) & (u) ® Yes ❑ No
15A NCAC 02"1-.0305(f) contains minimum separations that shall be nrovided for sewer systems:
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 Il 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 itetn 1X.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
15A NCAC 021'.0305(e contains alternatives where separations in 021.0305f f) cannot be achieved.
"r **Stream classifications can be identified using the Division's NC Surface Water Classifications weboauc
If noncompliance with 02T.0305(f) or (L). 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 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
r' 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 0213 .0200? Z Yes ❑ No ❑ N/A
r This would include Trott Buffered Streams per I5A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or [:]Yes Z No
individual permits or 401 Water Quality Certifications?
i Information can he obtained from the 401 & Buffer Pet mitthre Branch
5. Does project comply with 15A NCAC 02'1.0105(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, of have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stomwater 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
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:
I. Does the submitted system comply with 15A NCAC 021, the Minimum Design Criteria fbr the Pei nitLing of Pump Stations
and Forcz 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
I, 'LU`2- 0 attest that this application for
(Professional E gineer'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. 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 1 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 Certificationper 15A NCC�AC 02T .0106(b):
'/H
name & title from Application Item 1.3.)
7q
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 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 14 3-215.6A- and 143-2I 5.6B, 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 11 as civil penalties up to $25,000 per violation.
Signature: _ Date:
FORM: FTA 04-16 Page 5 of

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
AC and SH Elem. School Sewer Exts.
More than one FTSE mmr lie required for a single project if the owner of the WGVTP is not responsible for all pmnp
.stations along the route oftlre proposed wastewater/low.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: South Harnett Regional WWTP
b. WWTP Facility Permit #: NC0088366
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All./lows are in MGD
15
5.249
6.111
0.016
11.376
75,84%
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 Average Daily
Approx. Not Yet Total Current
Station Firm Flow**
Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm / pf),
Dailv Flow, Daily Flow, Obligated Available
Number) MGD MGD
MGD MGD Flow Capacity***
SLS72 1.656 0.662 0.199 0.416 0.615 0.047
* 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): HARNETT REG. WATER
Downstream Permit Number: WQCS000166
Page I of 6
FTSE 04-16

III. 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 nonnal 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 11 plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of t,)is wastewater flow.
Signing
Date
Page 2 of 6
FTSF 04-16

School Wastewater Extension Project - NC210
SOUTH HARNETT
ELEMENTARY SCHOOL
PROJECT AREA PUMP STATION
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ANDERSON CREEK
v.
PRIMARY SCHOOL �'° •
PUMP STATIONri
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SANITARY SEWER FORCE MAIN
CONNECTION POINT TO EXISTING
GRAVITY SANITARY SEWER
PERMIT NO: WQ0035012
12:3019 PM USGS TOPO MAP — NC-210
J. NO: PROJECT:
50111§14 HARNETT REGIONAL WATER
SCHOOL WASTEWATER EXTENSION
1:36,112
0 025 0.5 1 mi
0 0.4 0.8 1.6 km
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Dewberry Engineers Inc.
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PROPOSED
ANDERSON CREEK
PRIMARY SCHOOL
SEWAGE PUMPING
STATION
Harnett
C O U N T Y'
n m.rn i r::�ura�
GIS/E-911 Addressing
September5, 2019
914 ANDERSON CREEK SCHOOL RD
BUNNLEVEL, NC 28323
Recycle Center
Landfills
Surrounding County Boundaries
L E G E N
Federal Property Addre:
City Limits
Harnett County Boundary
Airport

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING D,(,CUMENTATION
Application Number: (to be completed byDWR) -'
All items must be completed or the application will be returned 0 C T 2 8 2019 a9t, qr
I. APPLICANT INFORMATION: A/C)Ros
1. Applicant's name: HarnettReeional Water (company, municipality, HOA, utility, etc.) �� r lvT, I F -eF IOhIAI "' F!C F
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Steven Wazd per 15A NCAC 02T 0106(b)
Title: Director
4. Applicant's mailing address: 700 McKinney Parlcwav
City: Lillingion State: NC Zip: 27546-_
5. Applicant's contact information:
Phone number: [phone] Email Address: sward(cbhamett.org
11. PROJECT INFORMATION:
1. Project name: AC and SH Elem. School Sewer Exts
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 whore project is located: Harnett
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.298017' Longitude:-78.893554'
5. Parcel ID (if applicable): SHES: 010547 0024 Ol • ACPS: 010525 0110- Closest to D/S Sewer: 010535 0100
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
Dewberry
SPECIAL ACCOUNT
2610 Wycliff Road, Suite 410
Raleigh, NC 27607-3073 -
TO THE
ORDER OF
107221
15-3/540
DATE 1� �%`\�
$, i�VygqO'0
DOLLARS.
maw.
OFFICER THORIZATION
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FORM: FTA 04-16
Page I of 5

DEQID VR
OCT 2 8 2019
WO, R,0S
Dewberry®
SPECIAL AGGOU
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Permit Number WQ0041270
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
trentallen
Coastal SWRule
Permitted Flow
16,392
Facility
Central Files: APS _ SWP
11 /25/2019
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
AC and SH Elem. Schools Sewer Exts. 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
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
11 /25/2019 10/28/2019 11 /25/2019 11 /25/2019
Regulated Activities Requested /Received Events
Wastewater collection Additional information requested
Additional information received
Outfall
Waterbody Name Streamindex Number Current Class Subbasin