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Home My WebLink AboutWQ0041336_Application (FTSE)_20191209Transmittal Date: December 4", 2019 Project Name: Franklin Medical CDC Project: 11964 To: Asheville Regional Office Water Quality Section 2090 US Highway 70 Swannanoa, NC 28778 828-296-5400 Via: t4 Mail ❑ Overnight ❑ Hand Delivered ❑ Pick up @ CDC Office ❑ Digital Copies ----------------- Date -------------------- Description ----------- --------- 2 12/04/2019 ---------------------- --------- ------- Signed Fast Track Application - 2 ------------------- 12/04/2019 ------------ ------ Town of Franklin Sewer Approved Plans (24" x 36") ---- ---------------------------- _______.__.___._.._.__- 2 12/04/2019 Street Level Aerial and USGS Topo Map 2 __ 12/04/2019 -------------------- NC Secretary of State company info ________.__________._._._._.__.._.._----_-__.._.. 2 12/04/2019 Property Deed 3� 1- 12/04/2019 Check For $480.00 for application fee to NCDEQ 2 ] 2/04/2019 FTSE form approved by Town of Franklin Remarks: (\/r/ n i6ce Cc: S VACAMI 1964Vdncs\Se..� S,vu sion-n[QPosiTnXl1964-1"I'A-Troneinitlal doe. Mailing Address: P.O. Box 5432, Asheville, NC 28813 168 Patton Avenue Asheville, NC 28801 52 Walnut Street —Suite 9, Waynesville, NC 28786 Phone 828-252-5388 Fax 828-252-5365 Phone: 828-452-4410 Fax: 828-456-5455 ` State of North Carolina Department of Environmental Quality Division of Water Resources P.f XVMRNoartas 1SANCAC 02T.6300-FAST TRACK SEWER SYSTEM EXTBNSIONAPFUCATION FTA 04-16 & SUPPORTING DOCUMENTATION Appiicnbn Numbx. (bbeoompindbyDWR) . All items must be enmoleted or the aoaliceSen will be returned L APPLICANTHVFORMATION: I- Applicearsmme:Entem (oompaay, munioipellly, HOA, utility, eta.) 2. AppOoeattypa: ❑Wdividtad NCorpomtioo ❑ Ommel Pwtnmxhip ❑Privately -Owned Public Utility ❑ Federal Per saawcoymy [I Municipal ❑ Other 3. Sigamme authority's malbi%e—'A �15A N�AC 02T OlOfifbl Title: -&-. 4, App8cml's maft addroN: 14 ONE CENTER COURT City: B Serb:jLCC Zip:2873.4 S. Applicant's cumact infuma0en: Ph=lmber.(-,)__ RnmllAddrom:_ IL PROJECT INFORMATION: 1. Project neon: Finaklin Madisal 2. Applicetical'rojen statue: ®Propused(NewPermil) ❑ Existing P=ivpojva Ifamodi5wtion, Provide the mdstiag proud, nimbus: W000_ nod issued date: — Ifnew construction but put of amatterphn, provide 0m adding permit number. W000_ 3. County where project is locatak egpg 4. Approximsb Contributes (Decimal Degras): latitude: 35,1947° Longitude:-83,3583° 5. Parcel iD(ifapplicable): 6595843385 (or Panel M to closed downsomem weans) Of. CONSULTANT INFORMATION: 1. 1'rofemionatBngioevl g License Number. 035687 Firm:Civil Dog, Cmcents PA Meiling addmae: 168 Patron Ave WatI er 011 Ilia D[:;10 0� f:i101:5 Chy: Aa MAUR stab:)c Zip:28901- AGiiLm[le fit GOlf (,` l �li� Phom mtmbor. M 252.53389 Smell Addmse: votund%odago.com TV. WASTEWATER TREATMENTFACILFfY(WWTF) INFORMATION: 1. FaeOityNeme:Fmnklin To W to Treabot Permit Number:NC0021547 Owner' Noma: Town of ArmkBe V. RECEIVING DOWNSTREAM SEWERINFORMATION(if dOfareat than WWTF): 1. Permit Numbet(s): WQ__ Downsheam(Recoivlag) Sewer Sim:_hah System Wide Colloolion Sstem PermitNeadurt)(if op "cp eb1e1: WQCg_, 0-14aom(s): Town ofE1x91& FORM: PTA 04-16 Page 1 of! VL GENERAL REQUIEEMENTS I. If the Applicmt is a Pdvmly4)wuW PubOc Utility, has aCNWMW ofPubRo Convenlmca and Necessity hem a0ached? ❑ Yes []No ®N/A 2. Ifthe Applicml is eDevdopm of lob to be sold, hu a Deveiooe'e Ooerat]MI Aarr4mem (FORM: DEVI bete aced"? ❑ Yea [No W1/A 3. If the APpRoact IS a HomdPmerN OMWAssoc'tibw m 01cratiolalA a ayat WORM, HOAI bem atlached7 ❑ Yea ❑No SI/A 4. Qd&o of wastowalar.(check all thatepply):. Reaidmbl Owned ❑ Rew (stares, cent", malls) El Laasal ® Car Wash Reb0 mthfcodpmparatiodsorvice HoblamVorMotals School I preschool / day care ®Medical / denial / veterinary feoiiitim ❑FoodanddrinkfheiRNes SwimmingPool/Clabhoam �] Church ®Nursing Swhcaft PooVFAterBackwash 0Busbaeeu/office/boaories Hosea ❑Other (Explain inAtmchment) 5. Natmeofwasrowsbr: _% DommUc/Commamiel IM%Comnermid %Industrial (See 15A NCAC.02T.01032011 I a,b them a PrekealmmtPm®am In~ ❑Yee ❑No 6. Haeaflowredmtionbemappmvedmdw ISANCACO2T .O114lfl7 ❑Yes [I No Y Ifvu. urovlde —of How rrlmtim aRRIOZlhenm 7. Summmizewasbwmegmmabdbypmj%t EdsbDehment 7ype(m 02T.0114lfl1 Da0yDealgaFlowO No. of Unit, Flow Me&cd Ol&e 2508a1/docear 16 4000 GPD pp GFD Say GPD Say GPD Say GPD pal/ GFD Ibml 4000 GPD b PwISANCACO2T.0114(c).dai�pflownaesSoreabbWhmmbn tidmtr d[inub1e15ANCACO2TA1141 Wmbe determincdmlog aveilsble lknrdete, wale udog Bzlume, omupemy mopmatimpaems, and otbosmmsmed dew 8. WutosmbrgmmlWbYFgwh2=GPD(per ISANCACO2T.01141 i Doad imludeltMflo WP YPCM*Wa8amtlou Ifpmuitiad Dowiezeo, mdieaae wbr. ❑Pump SbtimmGrmdty Sesser whose Bow wlObe permitted Eambsequeetpeemite timtea®xtmmEaline ❑ Flow has aha*bemallocated inPeamit Nimber: ❑ Rehob0hadon mmphementof adsfheS mwm with nomw Bowoweebd ❑Other( wwo: _ FORM:: FTA 04-16 Pap( 2 of 5 VD. GRAVTTP SEWER DESIGN CRITERIA of Applicable)- 02T.0305 A, MDC lGra ity Sewerel: 1. Su®e:kegrevityeewarmbep®iltad: 8ke(Inehe) lemgth(fed) hLkrW 8 390 PVC > SectionD&Moftlmb=forPmmittfogofGmvit3rSawereconWahifmmetimnlaoodmdaignmitmia D Section ill contains idarmadon related to minimum elopes for gravity"wer(e) 'r OveMzing line to now minlmam dope requironrort knot elbowed and a violation ofthe NMC VEL PUMP STATION DESIGN rRvrJ"(If Applicable) —02T.030S& MDC.(Pumo Stadons/Foree Make): COMPLETE FOR EACH FEW STATION INCLUDED DV THIS PROJECT 1. Pump aetimmunber orneme: PLa 2. Appmxinmte Coordiome(Dacimel Degnes):IAdtude: Longitude:- 3. Deign Dowofthepump"m g&ra ioega(looeperdey(Drmaepecily) V. OpmaOonal points) ofthe pump(a): 211 gallons permimda at WA feet total dynmdc had (TDH) 5. Summarize the Soma main to beperalittod(fcribia Pump Station): Size (Inch") Length (fat) Mamrw 6. Pa raabllhyineoomlaRwwthlSANCACO2T.0305fh)(1): ❑ Smftpoa+asaraorpmpwiihmdammkaWvationmdWemsky-15ANCACO2T.0305(h)(1)(R)i > Required final! pump aktkns withanaverage daily Dowgmawdata "equal to 15,000 p1(asparday > Must bepmmarom to&Oft Or. Nike pump sladw hm m avmW ds0y Sow lam d m 1SAW plkm pedq^. ❑ Pomblepovrem vidimnm"lecdvadan,quick-monectiourepepmofmmdkl®oky-1SANCACO2T .0305roxn(C) Or ❑ Porubkpkmpimgwit Ndkpb"Wemmgmwypumpconmeatkmmdtekmeuy-15ANCACO2T.0305(h)(IXC): > R Well be demonstrated "the Divivionthat the portebla sauce k owned oramtmctedby do epphcmt(khaftapcement) and k comp Wide with tie station. > (ftlopukble tovrorennmeorpump kdadiearedmmddpk pump aratlone,mevaluadonofell dopmp aralkne'etonp apct0a mid the rokfim schedule ofthe portable power soma"pump, Inckdk8 t"vel t®eSama,"be provldod in do a" ofs tomwe Owen power ouege. FORM: PTA 0 -16 Pop 3 of DL SETBACKS & SEPARATIONS —(02B MO & 1SA NCAC 02T &305(0): 1. Dam the pojectcomplywi01 e8 sepmetiwe found in 15A NCAC 02T0305(fl&(a) ®Yee❑No Y ISA NCAC 02T.t13115fFl wnmim minima wwmrrmw rhxt olwa ha.,maidwl5.�wam. "".rm.a• Setback Pmamders SepanctiouRequired Storm sewers and othermilitimnot lieledbebw vertical 24 inches .Water mains vertical -water over saw Including in benched trochee is inch" Water mains to feet Reelaimedwata8nee vertical -reclaimed overawer 18Inehes Reclaimed water lines horixonrel- iodtimed ova sower 2feet ^Anypr]vate mpub& water apply smrw, loolu ft my walla, WS-I wa a ofClunl on Close Dimpounded reservoha used a a somca ofdrinkbut wow 100fct teWatms classified WS (except WS-I or WS-V), B, SA, ORW, RQW, w SB Ram normel high water or tide elevation end wedanle sw item lX2 SO foot "Anymbermumn, labs,im mmdmmd mgmmdwaterloweringandsmflwdmmage ditches 10 feet Any1mildingfinculation 5 feet Any busmen t0 fact Top slopeofembml®on or uses oft fad remote vertical height 10 Sod Dmimgp, systemsaadm eor dmim 5AM Any swimming pools 10 fed Final earth gmdc. veriwl 36mobw > - 15A NCAC 02T 0305(at cmhdm alumna Ives >**Sttwmolesaificattonswnbefdwdfieduem > Ifnoncmnplience with 02T.0305(t) or(am 2. Dow the project oenplywkh sepera0on requirements for wdlwdea(50 fed of separation) ❑Yes []No ®N/A > Sus the Division's dmR separation requirements for oflusdens where eeparaem cement bemeet > No vertmwis required Min dtemeave design criteria specified Is utilized In design end construction > As built documents should rebrww the location ofmwe effected 3. Dom dmlmjectoomplywithmibech faoadin theiiarbminmleaper t5ANCAC 02B.02001 ❑Yw ❑Ne ®N/A > This would include Trod Buffered Seems per 15ANCAC 2B.0202 4. Done the product require coveagelaadaimfinnundere404Nationwide or ❑Yw ®No in&Wdad pmmOe w401 Watw QwUtyCmdfimtions7 > fi&mtion nboubtWWfiomdw401&BuSrPwmitH=Bmuch 5. Doesproat comply with 15ANM 02T.0105(0)(6)(additiomlpam0s/omtificodurs)4 ®Yee [I No Per15A NCAC 02T.0105(c)(6), dbmdymbad. environs anted permits or cmti8cstiou applications an being pmpervA haw bonerpplmdfon,orhavebowobu fined. Imuanmofthispmmhiswnnmtmbse ofdepandwtpmmits(erodmwd sedbnwm0on wnhol Phu, etmmwnemmauagamwtpime, ate.). 6. Does, this project Include soy sweroolladm liras thdam deemed"high-priody+P Pa 15A NCAC 02T.0402. "htgh-primhy ewer" mmm "my aerialawns, awns conaeft m hw wmem, siphs4 w sewer posidowd pmellel m sheembmka det is abject to emelmthd mrdamime wdeteriemim the sewer. [I Yes ®No ❑N/A > Ifyes, Include snauachmanwithdddls fcresch lIns, Including type(arisl Use, size,mamtal, and location). B%hprlm* mmehnBbemspededbythepermhtmo iwrepmewte0veatiemtonwevmyrix thaaudmspeedm documented per ISA NCAC 02T.0403(a)(5) or the permhm's mdlvidad System -Wide Collation panels, FORM: FIA 04-16 Page 4 of5 x CERTMCATIONS: 1. Does the submitted system comply with 15A NCAC 02T. the Minimum Iksign Criteria for the Permitting of Pums, SmOans and farce Maim(Intat vemioe), tied the GMvjjv S M MWMMDOSIM CtjtWj flatwt i )a applimbley ®Va ONO IfNo, complete and mbmitthe VumuodAlta tivaDem aRequwtapplieedm(VADC 10-14) audsuppordagdocumenmfar MerieW. ADnrovd affhe rmaath raevUrd nrMr M n,h,ahNah M,F. R..a vY..tr e....v..x.... __a that flog application fan INS oea mr,ewed'eLft and iiVal map complete omit ommutant with the i dminatton in"fied to the plea, spmificatimu, mgm ming celouiatiomet and all outer suppmft downmMm m tba Mat ofmy knowledge. I futthm ettestlhs m the lies of my kmwlcdge the proposed design has bam jimmied ie ecomdmce with.the applicable tegahamut, C"Wty Sewer MioimumDasgn Cticmiafor Gmvjjyti mQsest,melon), and the Mhimem Design Cdtaiafordw Fes.TmkPemhft ofPump Smtloa mdForco Mein Qatar vemion). Although othorloifinu mils mayhave developed cmmtm pd0ws ofthe submittal peel®ge inclueioa of these m emoials under my ugmhne and seal dip ifim that I be" reviewed this maww end have Judged it to be consistent with the proposed design. NOTE - To accordance with Gemmel Statute, 143-215AA sad 143-215.6E, any pmsm who koowingty makms my Met semmmt, representation, a cmtificatim in may application package duct be guilty of a t'1as 2 misdemeanor, which may imhilb a fine as to mcmd MA00, a well civil pmsdet up to $25,000 per vioJa6on. Nash Cerolhm Prolunkmal Endeeses seal, dpsors, tied dam: ta. 3. Applicatb CwfmtimparlSANCACO2T.0106(b): dihapplicationfa hu bemw&Tmd by me and is aceomm and complete to the bet ofmykacru hit a I umdwamnd dat ifallraquhedpmts of this applicaton are ant completed and duet if all mquimd s ppot0og dxummmtiam and etmchments ere not included, this appliatioo Pwimp is sublea to being tenoned a momplow. I undmsaodthat any dieahmge of v ewwamv from tide ma- dieohaw system to surfeawatms ar the bud will reeuk inn immodhm mfac®mtactianthat may lociede civil Pemlti e, igfumtiverolhf,and/aoriminalpmemution.IwIDmskemcm®sgaimtdmDivWmofWamrRaouroadmuldacoa itien oftldepermithaviolwouL I also undmehnd dot if all required parts of this application, pacimge meant completed and that if all Mitchell anPPor'th8 mimUetim and attachments are rot imludad. One application package will be Tenoned to am a to-Wift. NOTE - Ice accordance with Geoeml S}sntes 143.215.6A tied 143-215.6E, ecy pemon who kmwingiy makm my tuts, statement, repmMation, or cmti5cation to my ppPppp�� paclmgo shell be guilty of a Clam 1 midemm een, which any include a fine aato moved $10,000 a well up to$25,000 par violation % Sizatma: i/ "Yl Dam: % 2 _ z —If �T FORM: FPA 04.16 Pegs 5 of5 State of North Cotolina Department of Environmental Quality UNMRDivision of Water Resources Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications (FTSE 04-16) Entity Requesting Allocation: Entegra Bank Project Name for which flow is being requested: Franklin Medical More than one F7SE may be requiredfor a single project ifthe owner of the WWTP is not responsible for all pump stations along the route offhe proposed wasrewaairflou� 1. Complete this section only if you are the owner of the wastewater treatment plant. a. W WTP Facility Name: Franklin Town Water Treatment b. W WTP Facility Permit #: NCOO21547 All flows are in MGD c. W WTP facility's permitted flow 1.650 d. Estimated obligated flow not yet tributary to the W WTP 0 e, W WTP facility's actual avg. flow f. Total flow for this specific request 0,004 g. Total actual and obligated flows to the facility 0.923 It. Percent of permitted flow used 55.9T 11. 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) (D) (C) (D)-(9+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), Daily Flow, Daily Flow, Obligated Available Number) MOD MOD MOD MOD Flow Capacity*** 0.720 0.288 0.178 0 0.178 0,110 * 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 lid) 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. Downstream Facility Name (Sewer): Franklin Town Water Treatment Downstream Permit Number: NCOO21547 Page I of 6 FTSE 04-16 II1. Certification Statement: I Summer Woodard 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. Date Page 2 of 6 FTSE 04-16 11/13/2019 North Carolina Secretary of Stale Search Results • File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online Add Entity to My Email Notification List • View Filings • Print a Pre -Populated Annual Report form • Print an Amended a Annual Report form Bank Legal Name Entegra Bank Prev Legal Name Macon Bank, Inc. Prev Legal Name Macon Savings Bank, Inc., Bab Information Sosld: 0413649 Status: Current -Active Annual Report Status: Current Citizenship: Domestic Date Formed: 1/1/1997 Fiscal Month: December Registered Agent: Flamers, Roger D. Addresses Principal Office 14 One Center Ct Franklin, NC 28734 Reg Office 14 One Center Ct Franklin, NC 28734 Reg Mailing Mailing PO Box 1559 PO Box 1559 Franklin, NC 28744 Franklin, NC 28744 hops:ihw ..socnc.gov/online_ mices/eeerchleuslness_Registration_Results 1/1 \`;"' �� . \� \ip �. :1 ��''. �d ------=---- ��---__�r.��._ � .w