WQ0041304_Application (FTSE)_20191125

LdDVV
State of North Carolina
DWR
NOV 13 2019 Department of Environmental Quality
Division of Water Resources
E to 1,,CAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources 1 i,J} FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:
(to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: City.of Raeford (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: Dennis Baxley per15ANCACO2'r0io0(b)
Title: City Manager
4. Applicant's mailing address: 315 N. Main Street.
City: Raeford State: NC Zip: 28376-
5. Applicant's contact information:
Phone number: 910) 875-8161 Email Address: dbaxleyOlraefordnc org
11. PROJECT INFORMATION:
1. Project. name: Sewer Improvements to serve Seventh. Avenue.
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If 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: Hoke
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.3530' Longitude:-79.13Igo
5. Parcel ID (if applicable): 694351801164
(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
1. Professional Engineer: David I. Upchurch, PE License Number: 9570
Firm: Double D Engineering, PLLC
Mailing address: 150 S. Page Street
City: Southern Pines State: NC Zip: 28387-_
Phone number: 910) 684-8646 Email Address: —
IV. WASTEWATER TREATMENT FACILITY (W WTF) INFORMATION:
1. Facility Name: City of Raeford W WTP Permit Number: NCO026514
Owner Name: Hoke County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than W WTF):
1. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: 8 inch
SVstcmWide Collection System PennitNumbers ifa licable:WQCS
Owner Name(s): City of Raeford
FORM: FTA 04-16 Page I of 5

Vl. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ZN/A
2. If the Applicant is a Developer of lots to be sold, has a Develo eCs Operational Aereenient (FORM: DEV) been attached?
[:]Yes ❑No RN/A
3. If the Applicant is a I-tome/Proucrty Otvners' Associution has an Operational Agreement (FORM IiOA) been attached?
❑ Yes ❑No ZN/A
4. Origin of wastewater: (check all that apply):
0 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 O2T 0103(20))
L'Is there a Pretreatment Program in effect? ❑ Yes ® No
6. Hasa flow reduction been approved under 15A NCAC 02T .01 I4Lt)? []Yes ®No
➢ If yes provide a copy of flow reduction approval letter
Summarize wastewater generated by project:
Establishment Type (see 02T.0114(l)
Daily Design Flow','
No. of Units
Flow
Single Family Residence
360 gal/day
9
3240 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Tala!
324 GGPD
a See 15A NCAC. 021 01 IA(b) 2t . 'e I) 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 &S 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02l .01 [4] shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 3240 GPD (per 1.5A NCAC 02T A I I-t)
v 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) - 021'.0305 & MDC (Cravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 976 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)
Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
Vlll. PUMP STATION DESIGN CRITERIA (if Applicable) — )2T .0305 & MDC fPumn Stations/Force Mains)t
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximates 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 OTf .Oa05U,(I):
❑ 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
D 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):
Y 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 timeftames, 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 15A NCAC 01F 0305ti1 & (el ® Yes ❑ No
15A NCAC 02T.0305(t) contains minimum separations that shall he nrnvided far searPr cyetpmc:
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
Reclaimedwater 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, HOW, 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
Drains e s stems and interceptor drains
5 feet
An swimminpools
10 feet
Final earth grade (vertical)
36 inches
➢ ISA NCAC 02T.03050,0 contains alternatives where separations in 02T.0305(fl cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpaec
➢ If noncompliance with 02"1'.0305(q or 00, see Section X of this. application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) [:]Yes ❑ No Z 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 028 .0200'? ❑ Yes ❑ No 0 N/A
➢ This would include Trout Buffered Streams per 1.A. NCAC 2B.0202
4. Does the project require coverage/authorization under a 404Nationwide or ❑ Yes ® No
individualpermits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 &, Buffcr. Permitting Branch
5. Does project comply with I SA NCAC 021.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 021.0105(�jL6�, 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, stonnwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 021.0401, "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:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Desi_n Criteria for the Pei mittine of Pump Statiotu
and Force Mains ( latest version). and the Gravitt_Scwcr Mininnun 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 Certification:
name trom Application Item III. I:)
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 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 143-215.613, 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:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
attest that this application for
(Signature AuthoritySname &
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. 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 applicationpackage will be returned to
me as incomplete.
NOTE — In accordance with General Statutes 143 215.6A and 143--115.611, 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.
i
Signature: Date:
t_
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
IAS,aW on of WMOF Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 08-13)
Project, Applicant Name: City of Raeford
Project Name for which flow is being requested: Sewer Impovement to Seventh Avenue
More than one FTSE maybe requiredfpr a single project if the owner of the WWTP is not responsible for all pump
stations along the route of theproposed wastewater flow
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. W WTP Facility Name: City of Raeford POTW
b. W WTP Facility Permit #:-NC0026514
c. W WTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the
e. W WTP 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
Al! flows are in MGD
3.0
WWI? 1.54
1.46
.00324
100 %
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 W WTP:
(A)
Design
Pump
Average Daily
station
Firm Flow*"
(Name or
Capacity,* (Firm / pf),
Number)
MOD MOD
(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***
* 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 W WTP where the Available Capacity is < 0.
Page 1 of 6
FTSE 08-13

Project Cover Letter
Sewer Improvements to serve Seventh Avenue, Raeford, North Carolina
The new 8" gravity sewer mains to serve the Sewer Improvements to serve Seventh Avenue Project will
connect to an existing Town of Raeford 8" Gravity Sewer manhole located in the intersection of Johnson
Street and Eighth Avenue. The new 8" gravity sewer main will extend 976 If with 6 new 4' dia. Manholes.
The Sewer Improvements to serve Seventh Avenue will serve 9 single family home sites to be subdivided
along Seventh Street @ 360 gpd/home for a total proposed flow of 3,240 gpd.
Downstream Sewer Evaluation
The existing 8" gravity main located at the intersection of Eighth Avenue and Johnson Street has the
capacity to carry the additional proposed sewer flow with additional capacity to spare.

Downstream Sewer Evaluation
Sewer Improvements to serve Seventh Avenue, Raeford, North Carolina
8" Diameter PVC Pipe at 0.40% grade
9 Single Family Townhomes at 360/GPD = 3240 GPD
3240 gpd times 2.5 Peak Factor = 8100 gpd
Current Average Daily Flow 105 Homes at 180 gpd x 2.5 peak factor=47,250 gpd.
MODEL:
Input Parameters
Data
Manning n for material
0.012
Slope (ft/ft)
0.005
Pipe diameter (in)
8
Slope min. (8"-18" pipe)
0.004
Slope min. (21"-36" pipe)
FALSE
Output
Pipe Diameter (ft)
0.667
X-sex area (1/2-full)
0.174
Hydraulic Radius
0.167
Hydraulic Radius A 2/3
0.303
Slope A 1/2
0.071
Velocity (ft/s)
2.659
Flow (cfs)
0.464
Flow (gps)
3.470
Flow (gpd) 1112 Pipe
299,815
Flow (gpd) 3/4 Pipe
449,722
Flow (gpd) Full Pipe
599,630
Existing Gravity Sewer has sufficent capacity to handle current and future flow.

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Double D Engineering, PLLC
November 5, 2019
NCDEQ
Division of Water Resources
225 Green Street
Fayetteville, N.C. 28301
Attn: Trent Allen
Transmittal
1 Luv Lr
DEQID °VR
NOV 1 12019
WORDS
i'Ayll-1TC-VII ,ERFGIONAs.OFFICE
Ref: Seventh Street Sewer Improvements - City fo Raeford, NC
Sewer Permit Application
Please find attached:
Cover letter, sewer permit application, downstream sewer evaluation, flow tracking
form, USGS map, street view map and the fee check.
If you have any questions or need any additional information, please feel free to
contact this office.
DOUBLE D ENGINEERING, PLLC
Lee Humphrey, Project Manager
150 S. Page Street Southern Pines, NC 28387 PH: [phone]
Firm No. P-1275

EWD U U R
NOV a32019
t � 4ftb • °''

Permit Number WQ0041304
Central Files: APS _ SWP _
11/25/2019
Permit Tracking Slip
Program Category
Non -discharge
Status Project Type
Active New Project
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Version Permit Classification
1.09 Individual
Primary Reviewer
irentallen
Permit Contact Affiliation
Coastal SWRUk?
Permitted Flow
3,240
Facility
Facility Name Major/Minor Region
Sewer Improvements to serve Seventh Avenue 9
Minor Fayetteville
Location Address
County
Hoke
Facility Contact Affiliation
Owner
Owner Name
City of Raeford
Owner Type
Government - Municipal
Owner Affiliation
Dennis Baxley
Dates/Events 423 E Central Ave
Raeford NC 28376
Scheduled
Orig Issue App Received Draft Initiated Issuance
Public Notice Issue Effective Expiration
11/25/2019 11/13/2019 11/25/2019 11/25/2019
Regulated Activities Requested /Received Events
Wastewater collection Additional information requested
Additional information received
Ouffall
Waterbody Name
Streamindex Number Current Class Subbasin